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Youth Update Form
We want to stay up to date with you and your youth! As always, this information is ONLY SHARED with MPBC's Youth Ministry Staff.
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* Indicates required question
Rain never stops our fun!
Parent/Guardian First & Last Name
*
Your answer
Youth First & Last Name
*
Your answer
Youth Pronouns
*
She/Her
He/Him
They/Them
Only use proper name
Other:
Required
Permission to use youth's image on official MPBC social media (You can change this selection at any time)
*
Yes
No
Youth Birth Month Only
*
Choose
January
February
March
April
May
June
July
August
September
October
November
December
Youth's Grade for 22-23 School Year
*
Choose
6th
7th
8th
9th
10th
11th
12th
Your Youth's School 2022-23 Year
Your answer
What interests/hobbies does your youth have at this time?
Board Games/Video Games/Trivia
College Touring
Cooking/Baking
Crafting/Decorating/Knitting
Music/Singing/Playing Instruments
Outdoors/Nature/Hiking
Participating in Worship (reading scripture, acolyting, etc)
Performing Arts/Comedy/Dance
Science/Astronomy/Biology/etc
Sports/Exercise/Yoga
Travel/Languages/Culture
Visual Arts/Painting/Sculpting
Volunteering/Outreach/Tutoring
Other:
Are you (parent/caretaker) a member of MPBC?
Choose
Yes
Potential Member (need more info)
Not Interested at This Time
If a NEW parent/caretaker or preferred phone number has changed, type the new number here
Your answer
If you're a NEW parent/caretaker OR preferred email has changed, type the new email here
Your answer
Please list any of your youth's allergies (food, insect, medicinal, etc)
Your answer
If you're a NEW parent/caregiver OR youth's emergency contacts/authorized pick up have changed, type the new contact info here (name and number)
Your answer
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