MYM Middle School Youth Group

Middle School Youth Group Registration

Metanoia Youth Ministry | Holy Trinity Parish
Youth Name*

First NameLast Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Email*
By submitting student email address you give permission for adult leaders to contact student via email. Alternatively you can add a Parent Email here
Youth Phone Number to receive text notifications
By submitting youth cell # you give permission for adult leaders to contact student via phone/text. This field is optional.
School*
Grade*
Do you have any allergies or medical conditions that we should be aware of?
Parent/Guardian Information

Emergency Contact Information
Name of Guardian

First NameLast Name
Guardian Email
example@example.com
Emergency Phone Number*
Please enter a valid phone number.
Would you like to be added to our Parents Text list?*
Your Phone Number will stay private, we will send you reminders & information
Parent Text Phone Number*
Please enter a valid phone number.
From time to time, pictures and video may be taken of ministry events and gatherings. We would like to be able to use these for promotion on our parish social media, and website. To do this, we need permission from your parent or guardian if you are under the age of 18.
I hereby grant HOLY TRINITY PARISH, Lower Sackville, Nova Scotia the absolute and revocable right and permission to photograph, image, scan and publish the individual listed in this form, and to use these pictures and images, publications, writings in connection with any kind of activity or event at HOLY TRINITY PARISH including but not limited to promotions and advertising, both print and electronic related to Metanoia Youth Ministry and other parish programs.
Consent*

I consent to the aboveI do not consent
That should be everything we need! We look forward to having you at Metanoia Youth Ministry! Make sure you click the submit button before you leave!
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Middle School Youth Group Registration

Parent/Guardian Information