Register For Youth Group

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Youth Group Happens Every Sunday From 6:30pm-8pm at Blackburg UMC's Edges Campus (706 Harding Ave Blacksburg VA).

Whether It's The Beginning Of Our Season Together Or More Than Halfway Through - You Are Welcome To Join Our Youth Group At Any Time!

Please Fill In The Info Below Which Is Required For Youth Under Our Care In The Case Of An Emergency.

Email *

First & Last Name(s) Of Youth *

First & Last Name(s) Of Parent/Guardian *

Guardian Eergency Contact Phone Number *

Mailing Address? *

Any Allergies or Medical Concerns? *

Youth(s) Birthday? *

Who can pick up your youth? Please list names. *

Our class leaders take pictures of our activities during group for promotion of the program and sharing with our parent community! Please indicate whether you are willing to allow Bumc to share photos/videos of youth during Youth Group activities.
*

Yes

Other:

Youth T-Shirt Size *

Other:

Required

Send me a copy of my responses.

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