ICB Youth Group Registration - 2019/20
WELCOME!! We are really excited for you to join the youth group :)
All Youth Group Members must provide all required information on a yearly basis.
This form is to be filled by, or on behalf of prospective members of the Youth Group. It is not a substitute for the Annual ICB Family Membership enrollment which parents must complete separately. Youth Group participation does not confer ICB General Body membership privileges to parents. Incomplete or incorrect registration information may affect participation and voting privileges with respect to Youth Group activities and election until corrections are made, and accepted.
* Required
First Name
*
Your answer
Last Name
*
Your answer
E-mail Address
*
Your answer
Phone number
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Parent 1 name
*
Your answer
Parent 1 email
*
Your answer
Parent 1 phone number
*
Your answer
Parent 2 name
Your answer
Part 2 phone number
Your answer
Parent 2 phone number
Your answer
Are your parents members of ICB Wayland?
*
Yes
No
Don't Know
Do you attend Sunday School at ICB Wayland?
*
Yes
No
Home Address (Street Address, State, Zip Code)
*
Your answer
School Name
*
Your answer
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