Youth Ministry Registration Form - SAINT CHARLES CHRISTIAN CHURCH

Youth name *

First

Last

Legal guardian names *

Legal guardian email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Legal guardian phone *

Youth cell phone

This is so the church can communicate with your child.

May SCCC use photos of your child? *

Youth insurance information *

Group, ID, Insurance company, and doctor.

If we cannot reach you, does SCCC have permission to obtain medical treatment for your child? *

If it is deemed medically urgent, care will be ultimately provided.

Does SCCC have permission to take your child/youth on activities and trips? *

We cannot take your child anywhere without your permission. Thanks.

May your child walk to church for youth group? *

Does your child have any food allergies? If so, what are they?

Do you understand that youth group is from 6:30-7:30 and kids will not be watched after that? *