Love, Joy, Peace...
Youth's name:
Youth's Cell Phone Number (if applicable):
Youth's Current Grade in School:
Name AND Phone number for at least one parent:
When announcements need to be made for youth group, we would like to have contact info for at least one adult in the household. Please list the best adult in your household for receiving these types of announcements. You can list as many people and numbers as you like.
Do you have additional children that attend youth group? You can list their name, cell phone number, and birthdate in this box: