Youth Student Registration 2019 - 2020 (6th - 12th grade)
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Student's Name/Nickname/Preferred Name   *
Birth Date - including birth year. *
Age *
Grade and Name of School This Fall
Student email
Student cell #
Do you text? y/n
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What is the best way to get in touch with you?
Mailing Address - including city and zip
Tell us about you! What are your special gifts, talents, or interests?
Parent/Guardian #1 Name and email *
Parent/Guardian #1 phone - please indicate if home or cell. *
Parent/Guardian #2 Name and email
Parent/Guardian #2 home phone  - please indicate if home or cell.
From time to time, we will need parent chaperones for outings or special events.  Would you be able to help out?
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Would you be available to help out in Sunday School and Youth Group as an adult leader? (NOTE: If you have a child in CRASH!, we would ask you to help out with our eMERGE Youth – and vice-versa.
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I give permission and consent for photographs or video footage of my student to be published and used by St Francis Church to illustrate and promote St. Francis Church and/or its ministries. For the safety and security of your student, we will never print your student’s name with his/her photo or video. *
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What special activities for Crash and/or eMERGE are of interest to you (Youth)? *
Other Activities
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