JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ALIVE Youth Ministries Registration Form
General Attendance Permissions Form (FOR PARENTS TO FILL OUT)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
STUDENT INFORMATION
Student Full Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Grade for 2023-24 School Year
*
Your answer
School Name
*
Your answer
Student Phone Number
Your answer
Student Email
Your answer
Student Address
*
Your answer
Any Known Allergies
*
Your answer
PARENT/GUARDIAN
Parent(s)/Guardian(s) Name
*
Your answer
Parent(s)/Guardian(s) Email
*
Your answer
Parent(s)/Guardian(s) Phone Number
*
Your answer
Emergency Contact (other than parent/guardian)
- state relation to student
*
Your answer
Emergency Contact Phone Number
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of New Harvest Church.
Report Abuse
Forms
