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Student Information Sheet
Any student planning to participate in DYG events should complete this form. If at any point a student's information changes, please complete the form again with any new information. See Joel if you have any questions!
joel.devotie@gmail.com
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* Indicates required question
Student Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Grade- Level (2023-2024 School Year)
*
6th
7th
8th
9th
10th
11th
12th
Parent/Guardian Names
*
Your answer
Parent/Guardian Phone Number (indicate which parent the number belongs to)
*
Your answer
Parent/Guardian Phone Number (indicate which parent the number belongs to)
Your answer
Student Cell Phone Number
Your answer
Parent/Guardian Email Address
*
Your answer
Student Email Address
Your answer
Mailing Address
*
Your answer
Student Shirt Size
*
S
M
L
XL
XXL
Are you affiliated with a church other than DeVotie? If so, what church?
Your answer
Food allergies we should be aware of: (if none, put n/a)
*
Your answer
Medical concerns we should be aware of: (if none, put n/a)
*
Your answer
Emergency Contact (if different than parent/guardian)
Your answer
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