Level Green Presbyterian Teen Debate Club

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Level Green Presbyterian Church Teen Debate Club

1st Sunday of the month 7-8pm starting Sunday, September 7th

Youth Lounge

105 Olive Drive Trafford, PA 15085

familymin@levelgreenchurch.org

412-372-5370

Student Name *

Student Birthday *

YYYY

Grade for 2025-2026 School Year *

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Parent or Guardian Name *

Parent Email Address *

Student Email Address

Emergency Contact Phone *

The following people may pick up my child: *

Photo Authorization *

You may not use any photos of my child. I understand that my child's face will be blurred in group photos.

You may use photos of my child locally (i.e. at the church building for slide shows or on bulletin boards).

You may use photos of my child locally and online (i.e. church website and/or church social media).

Special Needs Accommodations (if needed)

Medical Conditions or Allergies (if needed)

Home Church *

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