Youth Participation Form
Youth First Name *
Your answer
Youth Last Name *
Your answer
Grade *
Your answer
Date of Birth *
(mm/dd/yyyy)
Your answer
Baptismal Date
Your answer
Address *
Your answer
Youth Cell #
xxx-xxx-xxxx
Your answer
Youth Email
Your answer
T-Shirt Size *
You are not buying a shirt. This is only to keep on record
Your answer
Severe Allergies or Medical Conditions
Your answer
Parent's/Guardian's Names *
Ex. Chris & Katherine Lake
Your answer
Dad Home # *
xxx-xxx-xxxx
Your answer
Dad Cell # *
xxx-xxx-xxxx
Your answer
Dad Email *
Your answer
Mom Home # *
xxx-xxx-xxxx
Your answer
Mom Cell # *
xxx-xxx-xxxx
Your answer
Mom Email *
Your answer
Emergency Contact *
Other than Parent/Guardian
Your answer
Emergency Contact Phone Number: *
xxx-xxx-xxxx
Your answer
Submit
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