Youth Ministries Waiver & Registration

Youth Ministries Waiver & Registration
STUDENT INFORMATION

( )   -

Gender*

Custody Concerns

Which Campus Do you attend? (please select)

Community Group already connected to or preference (please select)

HOUSEHOLD INFORMATION

( )   -

PARENT/GUARDIAN INFORMATION
PARENT 1
Relationship to student: (please select)

( )   -

( )   -

Custody (Please select)

PARENT 2
Relationship to student: (Please select)

( )   -

( )   -

Custody (Please select)

RISK WAIVER FORM

 

RISK WAIVER FORM (Please click to read)

I have read and agreed to the Risk Waiver Form*

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