2023/24 Youth Registration Form, 7th-12th Grade.

Family Information

Parent/Guardian Name(s)

Home Phone Number(s)

Cell Phone Number(s)

Address

Email Address

This address will receive a confirmation email

During youth ministry a parent/guardian can be reached at this phone number (xxx) xxx-xxxx

I am interested in sharing my gifts with Youth ministry. As a teacher As a substitute teacher Special events helper Christmas Pageant helper ELCA Youth Gathering assistant Fundraising

Student Information

If you are registering more than one child, please fill out one section for each child you are registering in the spaces below.

Student's Name

Cell Phone Number

Email Address

Date of birth (dd/mm/yyyy)

Baptism date (if known)

Grade entering in Fall of 2023

Name of regular attending school?

Student's special interests, activities, and hobbies. Do you play an instrument? Do you like to sing?

Health concerns? Allergies? Exceptional educational needs?

Second Student (if necessary)

Student's Name

Cell Phone Number

Email Address

Date of birth (dd/mm/yyyy)

Baptism date (if known)

Grade entering in Fall of 2023

Name of regular attending school?

Student's special interests, activities, and hobbies. Do you play an instrument? Do you like to sing?

Health concerns? Allergies? Exceptional educational needs?

Third Student (if necessary)

Student's Name

Cell Phone Number

Email Address

Date of birth (dd/mm/yyyy)

Baptism date (if known)

Grade entering in Fall of 2023

Name of regular attending school?

Student's special interests, activities, and hobbies. Do you play an instrument? Do you like to sing?

Health concerns? Allergies? Exceptional educational needs?

Fourth Student (if necessary)

Student's Name

Cell Phone Number

Email Address

Date of birth (dd/mm/yyyy)

Baptism date (if known)

Grade entering in Fall of 2023

Name of regular attending school?

Student's special interests, activities, and hobbies. Do you play an instrument? Do you like to sing?

Health concerns? Allergies? Exceptional educational needs?

Description

Please fill out this form with as much information as you can provide and click submit.

2023/24 Youth Registration Form, 7th-12th Grade.

Description

Please Fix the Following