Boys Club Registration

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Boys Club Registration - 2019-20

电子邮件地址 *

Name of Child - first, last *

Birth Date *

年

月

日

Grade *

Home Church (if any)

Parent / Guardian *

Parent / Guardian

T-shirt Size (youth) *

XXL

Home Address *

cell # *

cell #

in case of emergency call *

phone # *

Allergies (if none, write 'none') *

Medications (if none, write 'none') *

Dietary restrictions (if none, write 'none') *

Health Card Number *

Volunteering

I would be glad to volunteer with Bethany Boys Club

I am interested in volunteering but need to find out more

Our son would like to be a junior leader

Permission to Participate *

Yes, my son is permitted to participate in the events of Bethany Boys Club, both at and outside of Bethany Mennonite Church

必填

Permission to Photograph *

Yes, you have permission to take videos and pictures of my son in group settings for promotional purposes, Bethany worship services, and Bethany's social media sites

No, please do not take any digital images of my son, thank you.

必填

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