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Youth Group Registration

Youth Ministry Release Form 2023-2024

Thank you for taking the time to fill out!
Please feel free to register multiple students on this one form
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  Parent(s)/guardian(s) info.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Student(s) Info. REQUIRED
  Student(s) Name(s), grade, gender, email, phone number:
  Please fill out this field.
  
  Allergies: REQUIRED Please fill out this field. Please enter valid data.
  
  Parents, our youth ministry program is always looking for more volunteers for our various programs and for donating goods. Check the box below if you are willing to be contacted for volunteer opportunities:
  
  I Agree Please select this field.
  
  Parent/Legal Guardian Permission Form
  My child or children have permission to be involved in the Youth Ministry programs in Holy Cross AFC, under the direction of its leadership including any volunteer, service projects or events scheduled. I do not hold the Holy Cross AFC, the youth ministry coordinator, and/or any volunteer responsible for accidents.
  If a medical emergency occurs, I herby give permission to transport my child or children to a hospital for emergency medical or surgical treatment. I will be notified as soon as possible to any emergency concerning my child(ren).
  
  Parent/Guardian Signature REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter valid data.
  
  Family Medical Information:
  
  In the event of an emergency and you, the parent/guardian, can not be reached please list who you prefer us to contact.
  
  Emergency Contact: REQUIRED Please fill out this field.
  
  Photo/Video Release
  TO WHOM IT MAY CONCERN:
  I herby give permission for my child(ren), stated below, to be photographed or videotaped at Holy Cross AFC youth ministry events. I realize that the photo/video may be published in the newspaper, a magazine, or other publication as well as posted on the youth minisry Facebook and Instagram pages. The photo/video may be used for educational or informational purposes regarding the programs in Holy Cross AFC youth ministry.
  
  List children given permission to be photographed or indicate that you would prefer them not to be photographed REQUIRED Please fill out this field.
  
  Parent/Guardian Signature REQUIRED Please fill out this field. Please enter valid data.
  
  My child has permission to correspond with the Holy Cross AFC youth minister though text messages and/or email about youth ministry related activities including by not limited to; youth group schedules, youth ministry reminders, prayer requests and/or inspirational quotes.
  
  I Agree Please select this field.
  
  As a parent/guardian, I would like to also receive all correspondence between my child and the youth minister.
  
  Check this box only if you want to receive all communication between your child(ren) and the Holy Cross AFC youth minister:
  I Agree Please select this field.
  
  Additional notes
  
  Submit
  
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