HYPE Student Information Form
Hope Community Church Youth Group
When: Held every 1st and 3rd Sunday of the month (unless otherwise noted)
Time: 6pm-8pm
Where: Held at The Field Residence (unless otherwise noted): 2 Two Penny Run W, Pilesgrove, NJ
For Updates and Information please join us on REMIND by texting @4afh77 to 81010
Student First and Last Name *
Student Date of Birth *
School currently attending and Grade *
Student Cell Phone Number *
Parent/Guardian First and Last Name *
Parent/Guardian Email *
Parent Phone Number *
Address *
Emergency Contact Name and Number *
I give permission for photos, that my child may be in, to be used on the church website, social media or video presentations. *
Allergies *
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