SCLCY Vital Information & Emergency Medical Form
ALL LCY PARTICIPANTS must fill out this form to participate in events during the 2022-2023 LCY Program Year. It only needs to be completed ONCE per program year.

We do not share any information on this form with any outside entity or person, and only allow access to this information on a strict need-to-know basis. This is limited to Pastor Emily Edenfield and event leaders.

Please contact Pastor Emily at with any comments, suggestions, or questions.
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