Youth Registration Form
Date of Birth
Grade (September 2018)
Parent Cell Phone
Below please list any allergies, disabilities or other information that you feel we should know about your child to enhance their experience:
What would you like to do as a parent to support the work of St. Luke’s Youth Ministries:
Which events will your child participate in?
By clicking "Yes" below, I am allowing my child to participate in programs at St. Luke's and I acknowledge that images of my child may be used in church publications and on the internet for non-commercial purposes without identifying my child by name.
Send me a copy of my responses.
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