Youth 2021-2022 Form
Please fill out this form and click submit.
Youth Contact Information
Fill out an individual form with youth information for each youth in your household.
Name
*
Youth Email
Youth Phone (if shared you give permission for youth leaders to contact them through text)
Youth Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent/Caregiver Contact Information
At least one contact is marked as required. If your family would like to have more than one parent/caregiver receive communication, please fill out both areas.
Name (Parent/Caregiver 1)
*
Email (Parent/Caregiver 1)
*
This address will receive a confirmation email
Phone (Parent/Caregiver 1)
*
Name (Parent/Caregiver 2)
Email (Parent/Caregiver 2)
This address will receive a confirmation email
Phone (Parent/Caregiver 2)
Other Information
I'm interested in volunteering for:
*
Please select all that apply.
Youth Group
Special Events
Snacks
Youth Council Adult Representative
Behind the scenes organizing
Please share any questions you have for us or any helpful information we need to know about your child or family at this time.
*
Submit
Description
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