HKP Youth Group Sign-Up
Thank you for your interest in the HKP Youth Group hosted by Henderson KY Pride Inc.! Please complete this form to sign up and receive the meeting details, they will be emailed to the contact information provided below. The group is open to youth grades 9-12. Meetings will be held on the 4th Thursday of each month at 6:00 PM. The location will be disclosed in a corresponding email once the form is completed.
Attendee First Name
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Attendee Last Name
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Attendee Date of Birth
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Month
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Day
Year
Date
Pronouns
Address
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Attendee Email
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Attendee Phone number
Please list any dietary restrictions/allergies:
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Parent/Guardian & Emergency Contact Information
Please list your guardian
Parent/Guardian Full Name
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Phone Number
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Email
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Relationship to Attendee
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Emergency Contact Full Name
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Emergency Contact Phone Number
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Emergency Contact Relationship to Attendee
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General Information
Below is the disclaimer (required by all form-submitters) Henderson KY Pride values the safety of all attendees of programming, volunteers, staff, and our community. Programming locations are not published in any public channels and are shared with attendees after signing up. Any questions about practices, policies, or procedures please contact cbeck@hendersonkypride.org
Disclaimer: By submitting this form, I acknowledge that:All attendees of Henderson KY Pride sponsored events must abide by our code of conduct, which can be found by visiting hendersonkypride.orgA signed liability waiver is required to attend Henderson KY Pride Youth Group programming.Parent/guardian permission, in writing, is required for attendees under the age of 18. Permission slips will be signed upon the first meeting attended. I certify that all information provided in this form is accurate and true to the best of my knowledge.Failure to comply with these requirements may result in the inability to participate in group activities, events, and/or programming.
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I have read and agree to the above terms.
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