JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Children & Youth Participants Basic Info + Medical, Media & Release Waiver
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Child/Youth
*
Your answer
Parent(s) and/or legal guardian(s) of child participant
*
Your answer
Address
*
Your answer
Parent's Cell Phone Numbers
*
Your answer
Parent's Emails
*
Your answer
Student's Cell Phone Number if Applicable
Your answer
Student's Email (if applicable)
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's School and Current Grade
*
Your answer
Student's Baptism Status
*
Yes (add Baptism Date in "Other" line below)
No
I'd like to talk to the Pastor or Youth Director about scheduling a Baptism
I don't know???
Other:
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
