Youth Information Form

Please fill out this form and click submit.

Youth Information

Name

*

Email

*

This address will receive a confirmation email

Home Phone

*

Cell Phone

*

Address

*

Pronoun preference

*

Please select one option.

She/her/hers He/him/his They/them/theirs Other

Birth Date

*

School Year

*

Please select one option.

2023 to 2024 2024 to 2025 2025 to 2026

Select grade in school 2023–2024 (if applicable)

*

Please select one option.

1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

Photo Authorization

*

Please select all that apply.

Yes No Option

I give my permission for First Presby to use the photos of my child for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, social media, and web content. *

*

Parent/Guardian Info

Parent Name

*

Address

*

Email

*

This address will receive a confirmation email

Home Phone

*

Cell Phone

*

Work Phone

*

Relationship to Child

*

Please select one option.

Mother Father Step-parent Grandparent Other caregiver

Other

When church school is over at 10:15, we need to know if your child will be picked up from class or allowed to leave on his/her own. Please select the appropriate option and make sure your child is aware of this decision:

*

Please select one option.

My child will be met by Parent/Grandparent/Guardian My child will be met by an older sibling My child has my permission to leave the classroom by Him/Herself

Does your child have any allergies, food or otherwise?

*

Please select one option.

Yes No Option

Any other information which would be good for us to know about your child as she or he enters this new year of church school?

*

Description

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