2022-23 Youth Ministry Registration

Youth Registration Information

Youth Name

Date of Birth

Age as of 6/1/2022

School Grade in Fall 2022

Name of School (beginning Fall 2022)

Youth Email

Youth Cell Phone Number

Okay to text youth?

Youth Mailing Address

Has youth received the Covid-19 vaccination?

Yes
No
I choose not to answer

Parent/Guardian Name

Parent/Guardian Address

Parent/Guardian Email

Parent/Guardian Cell Phone

Parent/Guardian Home Phone

Additional Parent/Guardian Name

Additional Parent/Guardian Address (if different from above)

Additional Parent/Guardian email

Additional Parent/Guardian Cell Phone

Medical Information

All youth who participate in our programs are required to complete a Master Form prior to their attendance at any offsite event. To access a copy of the form, click here. Please complete the form digitally and upload it below.

This form will be kept on file with the church for the program year 2022-2023.

Upload completed Medical Form here.

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Additional Information

Please share any learning styles or preferences of which we should be aware to best serve your youth

Photo, Video, Podcast, Social Media Release

First United Methodist Church of Evanston, IL will use current and prior photographs and/or videos of and quotations from our youth in our print publications, website and social media pages. These photos, videos and quotations are never associated with the full name of the youth. Photos, videos, and quotes are used solely to promote and support our ministry.

I/We agree with the above statement of release.
I/We DO NOT agree with the above statement of release.

Youth and Family Covenant Agreement

I agree that at youth group, on mission trips, at service projects, and at classes, I will (1) respect other people, (2) will respect the leaders, (3) will respect church values, (4) will respect the property, and (5) will respect myself (i.e., I will not be under the influence of illegal drugs or alcohol).

I have read the Youth and Family Covenant and agree to abide by its principles.

Electronic Submission Form

By clicking the submit button, I am hereby registering my youth for 2021-2022 programming activities at First United Methodist Church of Evanston.

I have read and agree to the terms above.

Almost done. Where should we send the confirmation?

Name

Event Registration Software by RegFox

2022-2023 YOUTH