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Traveling Youth Group Registration
Where: John Black Memorial United (898 Henderson Hwy)
When: Friday May 10th 6:30-8:30pm
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Email
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Your email
Names of registrants (please add grade for youth registrants and other descriptor for any adults attending: ex: parent? youth leader? young adult?)
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Your answer
If connected to a Community of Faith, which one (leave blank if none)
Your answer
We like to take pictures at the event to share what youth are doing at events and to advertise future events. These pictures might be used on the website or on our Instagram or Facebook accounts.
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I give permission for the photos of those registered on this form to be used for the above purposes ( their name will not be used)
I give permission for their photos to be used for these purposes, as long as it is not a close up of their face.
Other (I do not give permission, or only with limitations provided below)
Explanation or description of photo limitations, if helpful...
Your answer
A snack will be provided. Please list any food allergies of people on this form.
Your answer
Best way(s) to contact you, if we need to share info ahead, or in case of emergency during event
Name of contact
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Your answer
Phone Number(s)
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Your answer
A copy of your responses will be emailed to the address you provided.
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