Youth Program Permission Form
For The United Methodist Church----September 1, 2018 to August 31, 2019
Your Name (first, last) *
Your answer
Your Grade in School *
Your Address (street, city, state, zip) *
Your answer
Your Email (Please use YOUR email if you have one--if you don't have one, please use a parent/ guardian's email.) *
Your answer
Your Parent's/ Guardian's Email *
Your answer
Your Cell Phone Number (If you don't have a cell phone that's fine, please enter a home phone number. But if you do have a cell phone, it's really helpful for us to have so that we can contact you quickly if necessary.) *
Your answer
Your Parent's/ Guardian's Cell Phone Number *
Your answer
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