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HR Youth Group Info 2023-2024
Please fill this out (or update) for each of your students at the start of each school year!
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
Your answer
Mother's Name
Your answer
Mother's Phone No.
Your answer
Father's Name
Your answer
Father's Phone No.
Your answer
Complete Mailing Address for Student
*
Your answer
Mailing Address for Parents/Guardians (if different from student)
Your answer
Main parent email
*
Your answer
Student Cell Phone
Your answer
Student Email
Your answer
Do you give permission to receive texts from the Youth Group?
*
Yes
No
If yes, who is your cell phone carrier?
Your answer
Name & Phone Number of Emergency Contact (in case parent/guardian cannot be reached)
*
Your answer
Please list anyone who is restricted from picking up your student.
*
Your answer
Student birthday
*
MM
/
DD
/
YYYY
School student attends
*
Your answer
Student's Grade for this school year?
*
6th
7th
8th
9th
10th
11th
12th
Other:
Student's T-shirt Size (Adult Sizes)
*
XS
S
M
L
XL
XXL
Other:
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