PCUMC Children & Youth Registration
Youth / Child Information
Name *
Your answer
Male / Female *
Age *
Your answer
Grade *
Birthdate *
MM
/
DD
/
YYYY
Baptism Date
Your answer
Cell Phone
Your answer
Permission to text
Email
Your answer
School
Your answer
Church
Your answer
Address / City / Zip *
Your answer
Allergies / Health Concerns
Your answer
Permission to use photos of youth/child in slideshows/website/etc. *
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