2023-2024 CYF Registration Form
Children, Youth, and Families
Please type all Parent/Guardians' names, phone numbers, and email addresses
Parent/Guardian(s) Name(s)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Parent/Guardian(s) Name(s)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Parent/Guardian(s) Name(s)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Parent/Guardian(s) Name(s)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Back
Next
Please type the names, ages, grades, birthdays, and preferred pronouns of each child/youth you are registering.
STUDENT ONE
First Name
Last Name
GRADE
AGE
BIRTHDAY
PREFERRED PRONOUNS
STUDENT TWO
First Name
Last Name
GRADE
AGE
BIRTHDAY
PERFERRED PRONOUNS
STUDENT THREE
First Name
Last Name
GRADE
AGE
BIRTHDAY
PREFERRED PRONOUNS
STUDENT FOUR
First Name
Last Name
GRADE
AGE
BIRTHDAY
PREFERRED PRONOUNS
Back
Next
Please provide the names of all adults who are authorized to pick up your child/youth. (Any adults not on this list will NOT be able to pick-up your child/youth). NOTE: As the school year goes by, when dropping off your child/youth, please let the teachers know of any additional adults to add to this list.
If your child/teen is in the Youth Group (Grades 7-12), may they leave Youth Room on their own? Please type "YES" or "NO."
Back
Next
PLEASE ENTER YOUR STUDENT(S) PRIMARY MAILING ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name(s) of parent/guardian(s) at this address:
PLEASE ENTER ANY STUDENT(S) SECONDARY MAILING ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name(s) of parent/guardian(s) at this address
Back
Next
Do(es) your student(s) have any medical conditions we need to know about? Please include the name of the student with description.
Is/are your student(s) allergic to anything? Please include the name of the student with each description.
Does your student(s) have any dietary restrictions? Please include the name of the student with each description.
Does your student(s) have any other special needs we should know about? Please include the name of the student with each description.
When participating in worship, your child/youth will be live-streamed for our online community. The clip from worship may be occasionally shared on our social media. Please acknowledge this by typing "YES."
Optional: May Marble Church use your child/youth's image for Marble Church advertising? Ex: postcards, signs outside of the church, newsletters, fliers etc.? Please type "YES" or "NO."
Back
Next
All CYF children must bring their SNACK. A fridge will be provided if needed. All snacks must be NUT-FREE.
Please acknowledge this by typing "YES."
Please let us know if you would like to be on the following volunteer teams! (If you are visiting us, you can skip these questions by pressing "NEXT" at the bottom of this page).
Would you like to be on the CYF Volunteer EVENT Team (This includes parties, special events, etc.) If so, please type "YES" and your name.
"YES" or "NO" and name
Would you like to be on our CYF Volunteer TEACHING Team? This includes occasional substitute teaching (both lead and assistant for Pre-K through 6th) - and as a "second adult" in Youth Group. If so, please type "YES" and your name. Please add any specifics you would like us to know. :)
Would you be interested in chaperoning an off-site or overnight event? If so, please type "YES" and your name.
Back
Next
THANK YOU for registering for the 2023-2024 CYF School Year! Please push SUBMIT!
Submit
Should be Empty: