Youth Lighthouse Registration Form

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Come and be a part of Youth Lighthouse (YL), where youths are encouraged to live courageously and boldly for God. We believe that God has called this generation to shine for Jesus Christ at school and at home. YL is a community of faith where high school students can grow in their relationship with God and experience genuine fellowship. Our fellowship is open to high school students from grade 7 to grade 12. We separate into six small groups: for grades 7 to 8, 9 to 10, and 11 to 12, guys and girls. Currently we are meeting in-person every Friday from 7:30pm to 9:30pm in Room 114. Everyone is welcome. For more information feel free to contact Pastor Philip Yee at phil_yee@hotmail.com. Join us on our ECBC YouthLighthouse Discord as it is our main channel for communication, on our Instagram ecbcyouthlighthouse, or on our Facebook ECBC Youth Lighthouse to connect with other youths and for weekly updates for YL.

First Name *

Last Name *

Gender *

Male

Female

Age *

Grade *

School *

Birthday (make sure to select the correct year) *

YYYY

Phone Number (eg. 123-456-7890)

Address *

City *

Postal Code *

Email address *

Social Media Accounts ID's (FB, IG, etc...)

Are you a Christian? *

Yes

Unsure

CARE CARD# *

Special Medical Needs/Allergies

YL Liability Form

I acknowledge that in event of an accident, injury, death, or illness to my son/daughter, I do hereby agree to release and hold harmless the Evangelical Chinese Bible Church (ECBC) and members/staff/volunteers acting on its behalf from all liabilities, claims and causes of action of every nature. In case of emergency, I understand that every effort will be made to contact me. If I cannot be reached, I hereby give ECBC the permission to act on my behalf in seeking emergency treatment for my child in the event that such treatment is deemed necessary by ECBC. I give permission to those administering emergency treatment to do so, using those measures deemed necessary. I absolve ECBC from liability in acting on my behalf in this regard so long as ECBC is not grossly negligent.

I understand by registering for YL that ECBC may photograph/video my teen during YL and use such photographs/videos in all forms of media, for any and all church purposes such as slideshow, promotional videos, and social media.

Parent's Signature *

I am his/her parent/guardian and I hereby give my consent for my child attend YL and accept the liability.

Required

Parent's Name *

Parent's Phone Number (123-456-7890) *

Parent's Email Address *

YL Parent's Group Chat on WeChat

Dear YL Parent's,
We do have a group chat for all YL parents on WeChat where I directly message you with weekly updates and provide relevant resources for parents. If you'd like to be added to that, you can add me on WeChat. My phone number is 604-787-5316. Just let me know who you are and who your child or children are.

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