ICB Youth Group Registration

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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.

First Name *

Last Name *

E-mail Address *

Phone number *

Birthday *

YYYY

Parent 1 name *

Parent 1 email *

Parent 1 phone number *

Parent 2 name

Part 2 phone number

Parent 2 phone number

Are your parents members of ICB Wayland? *

Yes

Don't Know

Do you attend Sunday School at ICB Wayland? *

Yes

Home Address (Street Address, State, Zip Code) *

School Name *

Submit

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