Celebration Youth Information and Consent Form

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Please provide us with up to date information for each child you have attending Celebration Youth. This allows us to ensure we have all the correct emergency contact information, media consent, and contact consent. Thanks!

Youth name *

Youth Age *

Grade and School *

Are there any medical concerns we should be aware of? *

Parent name and number *

Backup emergency contact name/number *

In order to communicate reminders about events, encourage participation in Bible reading plans and spiritual practices, and to facilitate intentional relationship, youth leaders may on occasion seek to communicate with youth throughout the week. Please check any methods of communication that we are able to use. Provide the contact information below. *

Text messaging

Social Media

Messenger

Texting Parent

Emailing Parent

Parent Social Media

Other:

Required

Please provide any contact methods that we may use. *

At events photos may be taken and used on our social media for promotions. Do we have consent to use photos in which your child appears? *

Yes

Parent, would you like to receive periodic updates about what is happening at Celebration Youth? If so please provide us your email address. Otherwise just type N/A *

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