2018-19 Youth Ministry Registration Form
Please complete a separate form for each youth (6th-12th grade).
Name *
Your answer
Phone
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Youth's Grade in 2018-2019 School Year *
Parent Name *
Your answer
Parent email address *
Your answer
Parent Phone Number *
Your answer
Please check one of the following: *
Please acknowledge that you have read the following: *
Required
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