IHMYC Registration Form

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Please fill out the form as accurately as you can. All information will be kept confidential. :) We really appreciate the time taken to fill this up properly.

Basic Biodata

Full Name *

Mobile Phone

Email address

(the one that you check all the time)

Date of Birth *

Month (Please spell) - Day - Year (e.g. Dec - 25 - 1997)

Home Phone

Home Address *

Please include postal code :)

School / Stream *

CCAs and Special awards/position

E.g. ELDDS (President), Vice-head prefect etc

Food/Drug Allergies *

This is information collected to make provision for food and to take into account when planning camps and activities. Nil reply required.

Medical Condition(s) *

This is information collected to make provision for food and to take into account when planning camps and activities. Nil reply required.

Parents' Contact Information

Mother's Name

Mother's Mobile Number

Mother's Email Address

Father's Name

Father's Mobile Number

Father's Email Address

Emergency contact person *

(Please provide contact number and relationship if the chosen person is not your parent.

Mother

Father

Other:

Required

Formation and Service Information

Skills I would like to offer *

(E.g. good handwriting, first aid skills, design skills, able to run really really fast, can start fire with 2 sticks, able to cook well, can move like neenjah, able to play 245 different instruments...

Skills I would like to develop *

I am joining YC because... *

(You may select more than 1)

I want to be involved in catechism classes as a facilitator or catechist.

I want to offer my muscles (logistics)

I want to plan and run camps/activities - games day etc.

I want to journey in faith together as a community

I want to offer my super admin skills

... I'm actually not very sure of what I want yet.

Other:

Required

This section is for questions and random remarks. :)

Thank you for signing up with IHMYC! May Jesus bless and Mary protect.

All information furnished to our ministry via this registration form will be kept strictly private and confidential. Only adult leaders will have access to this information.

If you have problems filling up this form, send us an email at ihmyouthcat@gmail.com and we'll send you a word.doc :)

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