Youth Group Consent Form
To be completed by parent/guardian for each participant
Email *
What is the name of the young person you are registering? *
What is their date of birth? *
MM
/
DD
/
YYYY
What school do they attend? *
What is your name? (Person completing this form and giving consent) *
What is your relationship to the young person you are registering? (Parent/Guardian) *
Emergency Contact Telephone Number *
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