Youth Info Form -2025/2026
ONE FORM PER STUDENT PLEASE
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Student Name *
Student Grade (2025/2026 school year) *
Student Date of Birth *
MM
/
DD
/
YYYY
Student Cell (if they have one)
If student has a cell phone, do you give permission for youth leaders to text your student?  Texts are used to check in with youth, remind youth of upcoming events, wish them a happy birthday, etc.
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Student Email (if they have one)
If student has an email, do we have permission to sign them up to receive the youth email newsletters? This keeps the youth in the loop as well as the parent. *
How often will your child participate in Youth Group? *
Parent's Names *
Parent's Email (enter more than one if multiple parents want to receive youth group newsletters) *
Parent's cell phone number (indicate parent name if giving more than one cell number) *
Mailing Address  *
Does your student have allergies we should be aware of?  (ex. food allergies that could be an issue when we are providing lunch) *
If you answered YES to allergies, please explain the allergic reaction and what you do to treat the reaction.
T-Shirt Size  *
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