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YOUTH MINISTRY FORM
Youth Registration form Saints Constantine & Helen Greek Orthodox Church, DC
Pre K - 12th grade 2020/2021 School Year
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* Indicates required question
Student #1 First Name
*
Your answer
Student #1 Last Name
*
Your answer
Student #1 Birth Date
*
MM
/
DD
/
YYYY
Student #1 Baptismal Name
*
Your answer
Student #1 Name's Day
*
MM
/
DD
Student #1 Grade
*
Choose
Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th grade
11th Grade
12th Grade
Student #1 Interests
*
Altar Boy Ministry
Bible Study
Catechism
Dance Ministry
GOYA (Ages 13-18: Teenagers should be in 6th/7th through 12th grades to participate)
Greek Language Ministry
Hope/Joy (Hope K-2nd grade) Joy (3rd- 6th grade)
Required
Child's/Children's phone number and email will only be used for sharing information related to church events and programming.
Student #1 - Phone Number
*
Your answer
Student #1 - Email Address
*
Your answer
Student #1 Please list here any concerns or information about your student, including allergies.
*
Your answer
Student #2 First Name
Your answer
Student #2 Last Name
Your answer
Student #2 Birth Date
MM
/
DD
/
YYYY
Student #2 Baptismal Name
Your answer
Student #2 Name's Day
Your answer
Student #2 Grade
Choose
Pre K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th grade
11th Grade
12th Grade
Student #2 Interests
Altar Boy Ministry
Bible Study
Catechism
Dance Ministry
GOYA (Ages 13-18: Teenagers should be in 6th/7th through 12th grades to participate)
Greek Language Ministry
Hope/Joy (Hope K-2nd grade) Joy (3rd- 6th grade)
Student #2 - Phone Number
Your answer
Student #2 - Email Address
Your answer
Student #2 Please list here any concerns or information about your student, including allergies.
Your answer
Student #3 First Name
Your answer
Student #3 Last Name
Your answer
Student #3 Birth Date
MM
/
DD
/
YYYY
Student #3 Baptismal Name
Your answer
Student #3 Name's Day
Your answer
Student #3 Grade
Choose
Pre K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th grade
11th Grade
12th Grade
Student #3 Interests
Altar Boy Ministry
Bible Study
Catechism
Dance Ministry
GOYA (Ages 13-18: Teenagers should be in 6th/7th through 12th grades to participate)
Greek Language Ministry
Hope/Joy (Hope K-2nd grade) Joy (3rd- 6th grade)
Student #3 - Phone Number
Your answer
Student #3 - Email Address
Your answer
Student #3 Please list here any concerns or information about your student, including allergies.
Your answer
Student #4 First Name
Your answer
Student #4 Last Name
Your answer
Student #4 Birth Date
MM
/
DD
/
YYYY
Student #4 Baptismal Name
Your answer
Student #4 Name's Day
Your answer
Student #4 Grade
Choose
Pre K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th grade
11th Grade
12th Grade
Student #4 Interests
Altar Boy Ministry
Bible Study
Catechism
Dance Ministry
GOYA (Ages 13-18: Teenagers should be in 6th/7th through 12th grades to participate)
Greek Language Ministry
Hope/Joy (Hope K-2nd grade) Joy (3rd- 6th grade)
Student #4 - Phone Number
Your answer
Student #4 - Email Address
Your answer
Student #4 Please list here any concerns or information about your student, including allergies.
Your answer
Student(s) Medical Plan
*
Your answer
Permission to seek medical treatment incase of injury or sickness
*
Yes
No
Are you stewards in good standing?
*
Yes
No
Parent 1 First Name
*
Your answer
Parent 1 Last Name
*
Your answer
Parent 1 Cell Phone Number
*
Your answer
Parent 1 Email Address
*
Your answer
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Parent 2 Cell Phone Number
Your answer
Parent 2 Email Address
Your answer
Permission from Parent(s) to Contact Students via email.
*
Yes
No
Permission from Parent(s) to photograph student(s) at church events for use in church publications
*
Yes
No
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