The youth group registration form is open to all individuals between the ages of 13 and 18.
Date of Birth
Insurance Provider Name
Does the child have any allergies
Does the child have any medical conditions that we should be aware of
Parent Cell No
I agree to follow the guidelines, rules, and policies of the organization.If a chaperone or driver is needed, I'll do that.I allow my child to be photographed or be part of the video that will be used for marketing, promotion, and advertisements.The repeated offense of the youth may result in suspension or expulsion.Parent/Guardian registered in this form has legal custody over the child.I allow my child to ride any vehicle that is related to the group's activities provided that there's an adult on board.For medical emergencies, I allow the medical team of this organization to take care of my child.I release this organization from any and all liability from accident or injury to the child during the organization-related events