2020/2021 Grace Youth Group Registration

Registration

IMPORTANT! This registration is for the entire 2020/2021 Grace Youth year. This registration DOES NOT replace the weekly online youth night regestration. Only one section can be filled out per child.

Child's First Name *

Child's Last Name *

Gender *

School Grade *

Date of Birth *

Parent Email Address *

Parent Phone Number *

Student Mobile Number

Student Email Address

Release of Liability

As the Parent/Guardian, I authorize that this information is correct and am aware that sending my child to Grace Youth Group raises the likelihood of transmission *

Type name of parent/guardian