NextGen 2023-24 Registration

2023-24 NextGen Registration

Yearly registration for all kids attending NextGen Programming: Sunday School / Infant - High School age and Youth Groups - 4th - High School age
Child's Name

First NameLast Name
Child's Gender
Child's Birthday

MonthDayYear
Date
Child's Grade

NurseryPre-K (4 year old)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
Child's School (if applicable)
Child's Phone Number (if applicable)

Area CodePhone Number
Child's Email (if applicable)
example@example.com
Family Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Mother

First NameLast Name
Mother's Email
example@example.com
Mother's Phone

Area CodePhone Number
Child's Father

First NameLast Name
Father's Email
example@example.com
Father's Phone

Area CodePhone Number
Emergency Contact (if unable to reach parents)

First NameLast Name
Area CodePhone Number
Any Health Concerns or Allergies we should be aware of?
Anything else we should be aware of when working with your student?
Tower Hill Church Media Release Form On behalf of myself and my minor children, I grant Tower Hill Church and its affiliated entities(collectively referred to as “Tower Hill Church”) full rights to use the images resulting from photography/video filming/sound recording at its Next Gen programs. Tower Hill Church has my permission to use my and my child’s image, photograph, video, audio or other digital media publicly. I understand that the images and recording may be used in online publications, print publications, presentations, websites, and social media. I understand and agree that all images of me and my children will become the property of Tower Hill Church. I also understand that no royalty, fee or other compensation shall become payable to me or my child by reason of such use. In addition, I release and relieve Tower Hill Church and its board of trustees/directors, employees, and other representatives from any liabilities, known or unknown, arising out of the use of this material.

YesNo
Signature - Your signature means you agree with all the guidelines set forth by Tower Hill NextGen.

Clear
FOR YOUTH GROUP PARENTS ONLY!
If your student (4th - 12th Grade) plans on attending youth group on Wednesday or Thursday night, we are asking for a family donation of $50 for the year to help with snacks, food, drinks and other supplies.

MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS CLICK HERE for payment

PRE-TEEN STUDENTS CLICK HERE for payment
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2023-24 NextGen Registration