Teens Registration 2024-2025

Registration for Teens Group

2024-2025
Ages 12-16 (teens can start attending teen gatherings only after turning 12)

Please join the Teen Ministry Announcements Viber group for updates and weekly schedules/announcements. Contact Irina Shuvarikov (509) 714-0022 if you'd like to be added to the group.
Teen Information*

First NameLast Name
Date of Birth*

MonthDayYear
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Teen's Cellphone Number
В какой сфере служения желает участвовать подросток?

ПЕСНИСТИХИДИКЛАМАЦИЯИГРА НА ИНСТРУМЕНТАХДРУГОЕ
Parent's Information
Father's Name*
Father's Phone #*
Mother's Name*
Mother's Phone #*
В какой сфере служения желают участвовать родители?

ТРАНСПОРТДЕЖУРСТВОРАСКРЫТИЕ ТЕМЕДАСПОРТДРУГОЕ
Family Doctor Name
Family Doctor Phone #
Emergency Contact*
Name
Phone #*
Allergies/ Health Concerns
I consent to emergency treatments for the child named above, while in the care of the teen staff of Spokane Slavic Baptist Church. I understand that emergency treatments and care will be provided, at the nearest appropriate healthcare facility. I also consent to emergency transportation of this child. However, payment of any emergency treatment for my child is my responsibility. I agree to instruct my child to obey all rules, regulations, and instructions given by leaders and/or authorized teens group personnel. I further agree that no leader or authorized personnel shall be held responsible or liable for injuries or other mishaps caused by my child's deliberate disobedience of rules, regulations or instructions.

YOUR SIGNATURE INDICATES THAT YOU HAVE READ AND AGREED TO THE ABOVE AND THAT WE HAVE YOUR PERMISSION FOR YOUR CHILD TO ATTEND TEENS GROUP.
Signature*

Clear
Please select one of the options below to help cover teen ministry expenses this 2024-2025 year. This is optional but greatly appreciated!
TEEN MINISTRY DONATIONS
prevnext( X )
Teen Ministry Donation $25
$25.00



Teen Ministry Donation $50
$50.00



Teen Ministry Donation $75
$75.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Registration for Teens Group