D6 Youth Registration
It's that time of year again for the D6 Christian Education Week! We're excited to be able to serve youth from 6 months of age up through high school. Please complete the information below for each youth that will be in attendance. Registration deadline is Thursday, July 21st at 5:00 pm. We look forward to seeing you there!

Date: Monday, July 25th-Wednesday, July 27th
Time: 6:30-8:30 pm
Location: Mt. Zion Baptist Church
                 120 Roberson St.
                  Kalamazoo, MI 49007

*Please only register ONE youth per form
**If you have any questions or trouble registering, please contact Talanda Ollie at (269) 388-3573 or tollie@mtzionkalamazoo.org
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Email *
Youth First and Last Name *
Church Affiliation *
Please select the appropriate age group for the youth. For school-aged youth, select based on the last grade completed (i.e. if they just finished 8th grade, select "Middle School" or if they just finished Preschool, select "TOT Spot 3-5 years old") *
Age *
Shoe size (Only if size is 7 Toddler and up).
Medical Conditions or Allergies (List all things that apply. If none, put n/a) *
Emergency Contact Information (Put first and last name, relationship to the above named youth, and a number where they can be reached. Note that it is REQUIRED that the Emergency Contact BE PRESENT at the conference) *
By clicking "yes", you hereby grant permission to Mt. Zion Baptist Church to use any photographs, videos, recordings, or any other record of your child from this event for any legitimate purpose. *
Is there anything else we need to be aware of?
A copy of your responses will be emailed to the address you provided.
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