Skip to content
Welcome
Sermons
Ministries
Youth
Donations
Forms
About Us
Contact
Menu
Welcome
Sermons
Ministries
Youth
Donations
Forms
About Us
Contact
Next Sunday:
Sun, Dec 8 @ 10:45 am
Youth Registration Form
"
*
" indicates required fields
Youth Event
*
Event Date
*
MM slash DD slash YYYY
Youth Name(s) and Details
*
First*
Last*
Age*
Health Card Number
First
Last
Age
Health Card Number
First
Last
Age
Health Card Number
Address
*
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Medical/Allergy/Health Concerns
Parent/Guardian
*
Cell Phone
*
Emerg. Contact Phone
Email
Print Name as Signature
*
Disclaimer: Some youth events are higher risk and involve the possibility of hazard or injury even when following all safety measures. By signing this form you acknowledge that this event may involve a degree of risk, and give consent for your youth to attend. You assume the risk of the event and release the church and staff from all liability. Please have your youth bring their health cards to all events.
Date
*
MM slash DD slash YYYY
Comments