2019/20 Sparwood Mountainside Community Youth Group Registration Form
Welcome to Youth Group! We are so glad you are interested in signing up. Here's how you can get started:

- The safety of your child is our primary concern so please fill out one registration form per teen attending Youth Group.
- A physical copy waiver for the year will need to be filled out. The waiver will be available to fill out in person at youth nights, or can be printed off by clicking on the link below and brought to youth group

https://drive.google.com/file/d/1WEJYi0yyafre48w0-OkqGkTpQER5hEFZ/view?usp=sharing
Email address *
YOUTH INFORMATION
Last Name *
Your answer
First Name *
Your answer
Youth Email Address
Your answer
Youth Cell Phone #
Your answer
Home Phone # *
Your answer
Instagram
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Grade *
Gender *
Allergies, food sensitivities or medical/behavioural concerns? *
Your answer
Health Card # *
Your answer
PARENT INFO
Parents / Guardian Name(s) *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number *
Your answer
EMERGENCY CONTACT INFORMATION (if parent/guardian is not available)
Name *
Your answer
Relationship to Child *
Your answer
Phone Number *
Your answer
MORE INFO
How did you hear about Youth Group? *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Mountainside Community Church. Report Abuse