Youth - Action - Service Registration Form (Grades 6-12)

This registration form is for our Youth Group for grades 6-12. Please contact The Rev. Cynthia McKenna (cynthia@trinity-fredericksburg.org) if you have any questions about our youth ministries.

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Email *

Youth’s Full Name:

 *
Youth's Preferred Name:
Pronouns:

Youth’s Date of Birth:

 *
School of Attendance:
Current Grade Level:

Interested in Confirmation?

Any particular needs that would help us make you feel more comfortable? (Dietary restrictions, Learning or Behavioral needs, food allergies, or anything else)

Parent/Guardian's Full Name:

 *

Email Address:

 *

Phone Number:

 *

Emergency Phone Number:

 *

Home Address:

 *

I give my permission for Trinity to use my child's photograph (without their name) on the parish website, in other parish publications, and on social media.

 *
Required

I am interested in some of the volunteer opportunities, such as: preparing or bringing dinner for Youth Group, chaperoning day trips/overnight trips, leading a session or activity, or helping out with Youth Group Leadership.

 *
Required
A copy of your responses will be emailed to the address you provided.
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