Youth Group Registration 2023-2024                Middle School & High School
We're so excited you're going to join us for Youth Group this year! Please fill out the below form so that we can best be prepared to serve your family. If you have any questions, please contact Kaja Fickes at danandkaja@yahoo.com or Alexis MaElhiney at amacelhiney@stjohns-hingham.org

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Email *
Guardian 1 Name *
Guardian 1 Email Address *
Guardian 1 Cell Phone Number *
Guardian 1 Home Address *
Guardian 2 Name
Guardian 2 Email
Guardian 2 Cell Phone Number
Guardian 2 Home Address (if different)
Student 1 Name *
Stuent 1 Birthdate *
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Student 1 Email Address
Student 1 Cell Phone
Student 1 Grade for 2023-2024 School Year *
Student 1: Does this child have any allergies, health conditions, or access needs we should know about? If so, please note them below.
Student 1: If your youth is learning to manage their own schedule, we would like to include them in communications. Please select ALL methods by which we can communicate with your youth. Please note that will ALWAYS include parents on all communications.  *
Required
Student 2 Name
Student 2 Birthdate 
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DD
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YYYY
Student 2 Email
Student 2 Cell Phone
Student 2 Grade for 2023 - 2024 School Year
Clear selection
Student 2: Does this child have any allergies, health conditions, or access needs we should know about? If so, please note them below.
Student 2: If your youth is learning to manage their own schedule, we would like to include them in communications. Please select ALL methods by which we can communicate with your youth. Please note that will ALWAYS include parents on all communications. 
Student 3 Name
Student 3 Birthdate
MM
/
DD
/
YYYY
Student 3 Email Address
Student 3 Cell Phone
Student 3 Grade for 2023-2024 School Year
Student 3: Does this child have any allergies, health conditions, or access needs we should know about? If so, please note them below.
Student 3: If your youth is learning to manage their own schedule, we would like to include them in communications. Please select ALL methods by which we can communicate with your youth. Please note that will ALWAYS include parents on all communications. 
I hereby grant permission to the Episcopal Parish of Saint John the Evangelist to photograph my child(ren) during Youth Group, worship services, and parish events, and to use those photographs on the church web site, in parish publications, and for general publicity purposes.
 *
Involvement Opportunities: I would be interested in participating in Middle School Youth Group or Highschool Youth Group in the following ways:
Is there anything else we should know to best serve your family?
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