Youth Ministry 23-24 Registration Form
PLEASE NOTE: ONE STUDENT PER REGISTRATION FORM

*Materials fee per year: $25.00 per student.*
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Photo Release/Waiver: As a participant in this program, I understand that the Youth Ministry Team photographs and/or videotapes activities to be used in publicizing Ministry and projects within the congregation. In registring for this program I agree to the above.
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Student's First Name: *
Student's Last Name: *
Parent or Guardian First and Last Name: *
Parent or Guardian's Email: *
Parent or Guardian's Cell Phone Number *
Address: *
City, State and Zip Code: *
Student's Birth Date: *
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My student will participate in: *
Medical Conditions/Allergies/Special Needs: *
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