Contact Information Input Form for Youth
Thank you for supporting the ministry of Pacific Yearly Meeting by providing some information about the young Friends in your care.

By filling out this form you'll be contacted for events that are specific to your child's age group.

FRIENDLY NOTE: This form is for providing information about Friends who are under 18 years old. If you would like to provide information for a Friend who is 18 or older, please use this form instead:
https://forms.gle/MVvNTWUmSBg1aRFm6
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Guardian First Name (You)
Guardian Last Name
Guardians Email *
Youth's First Name: *
Youth's Last Name: *
Youth Birthdate
If you aren't comfortable providing month and day please enter 01/01/XXXX
MM
/
DD
/
YYYY
Monthly meeting or worship group that this young Friend attends:
May PacYM publish the information you have provided in its new PacYM-wide directory? *
If you select "No", this young Friend's information may be used in PacYM statistical reports. However, other Friends will not be able to see or search for their information.
Would you like us to add any notes to this entry in the directory database?
Example: "Teen's email/cell number/instagram account name."
Submit
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