Advent Lutheran Youth Ministry Registration
Please complete one form per child
Youth Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Youth Grade *
Has youth been confirmed? *
Youth phone number (###-###-####) *
Your answer
Do you wish to receive texts at this number with updates and reminders? (Number will be kept private) *
Youth Email *
Your answer
Do you wish to receive email updates at this address? *
Parent 1 name *
Your answer
Parent 2 name
Your answer
Address *
Your answer
Parent 1 phone number (###-###-####) *
Your answer
Do you want to receive texts at this number? *
Parent 1 email *
Your answer
Do you want to receive email updates at this address? *
Parent 2 phone number (###-###-####)
Your answer
Do you want to receive texts at this number?
Parent 2 email
Your answer
Do you want to receive email updates at this address?
We would like to let people know how wonderful our youth are! Do you give permission for your child to be photographed/videoed and those images to be shared through Advent communications such as weekly email, newsletter, website, picture displays, and other media? *
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