Youth Ministry & School Registration Form 2023

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Family Information

Child's Baptismal Name *

Feast Day *

Birthdate *

YYYY

Grade *

Greek School Grade (when applicable): *

Parent(s)’ Name *

Address *

City *

Zip Code *

Phone# *

Cell# *

Email *

Alternative Email

Emergency Contact *

Relationship *

Emergency Contact Phone Number *

Emergency Contact Cell Phone Number *

Emergency Contact Email *

Medications *

Allergies *

Physician’s Information *

Physician's Phone Number *

Release Statement: Church personnel has my consent to act in an emergency in securing the necessary aid and transportation for the preservation of my child’s health. Parent/Guardian Signature: *

I consent to having my child(ren) photographed/ video for church publications and school events. *

Yes

All Saint Spyridon families that are signed up for youth ministry are required to be stewards of Saint Spyridon and members of the Parent Teacher Association.

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