YOUTH SUMMER EVENTS 2017
If you will be in secondary school starting Fall 2017, you need to GET CONNECTED with what's happening this summer at Evangel Youth!

One form must be completed per participant.

STUDENT INFO...
Student First Name
Your answer
Student Last Name
Your answer
Student Date of Birth
MM
/
DD
/
YYYY
Student's grade starting September 2017
Health Card Number
This information is required in order for the student to participate in our summer events
Your answer
Allergies, Dietary, and/or Physical Conditions/Restrictions:
N/A if not applicable
Your answer
PARENT/GUARDIAN INFO...
Parent/Emergency Contact Cell Phone Number
Your answer
Parent/Emergency Contact Home Phone Number
Your answer
Parent/Guardian Email
Your answer
EVENT INFO...
EVENTS
Please choose which summer Youth events you will be joining!
Required
Submit
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