Middle School Youth Group Participant Form 22-23
Please complete this form in it's entirety for your child to participate in Youth Group activities including, but not limited to, open gym, local or long distance outings, gatherings, Youth Mass, retreats, service activities, games, icebreakers and the like. This form must be filled out annually.
Sign in to Google to save your progress. Learn more
Email *
Student's First Name *
Student's Last Name *
Gender *
School *
Rising Grade (2022-23) *
Email Address for Distribution List *
Parent Contact 1 *
Parent Contact 2
Emergency Phone Number for Contact 1 *
Emergency Phone Number for Contact 2
Additional Emergency Contact *
Relationship to Child *
Please list all adults (other than parent contacts listed above) with whom your child may leave with from Youth Group events and meetings. *
Is there anything you would like for us to know about your child? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Christ the King Catholic Church. Report Abuse
Google Forms