Youth Registration Form
This form is for all youth in grades 8 through 12. Thank you for taking the time to complete the form! The updated information is very helpful.

Please complete one registration form for each youth. There is space to include two parents/guardians. If you have more information to share, please email Missy: mroetter@trinitychurchindy.org.
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Name of youth
Age of youth
Birthdate of youth (month/day/year)
Preferred gender pronouns for youth
Clear selection
What grade will the youth be entering this fall?
Clear selection
Youth's School
Youth email address
Youth cell phone number
Allergies, disabilities, or special needs of youth
Has the youth been fully vaccinated?
Clear selection
What activities does the youth participate in (choir, sports teams, extracurriculars at school, etc.)?
What else would you like us to know about the youth?
Name of Parent/Guardian #1 *
Email for Parent/Guardian #1 *
Would Parent/Guardian #1 like to be on email lists to receive information about programming?
Clear selection
Phone number of Parent/Guardian #1 *
Can this phone number receive text messages?
Clear selection
Home Address of Parent/Guardian #1
Name of Parent/Guardian #2
Email for Parent/Guardian #2
Would Parent/Guardian #2 like to be on email lists to receive information about programming?
Clear selection
Phone number of Parent/Guardian #2
Can this phone number receive text messages?
Clear selection
Home Address for Parent/Guardian #2 (if different)
Pictures and/or videos taken at Trinity events and programs may be used on our church's promotional materials, including our website, social media page, emails, or newsletters. Youth will never be identified by name. If you would NOT like pictures of your child used on Trinity's promotional materials, please check the box below.
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