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2026/2027 Registration
Plan on attending Jr. or Sr. Youth this coming school year? REGISTRATION REQUIRED! Only one form required per family.
13
Questions
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1
How many children are you registering for
Youth
this year?
*
This field is required.
Please Select
1
2
3
Please Select
Please Select
1
2
3
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2
Child's Information-1
*
This field is required.
First Name
Last Name
Please Select
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7
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9
10
11
12
Please Select
Please Select
6
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8
9
10
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12
Grade
School
Birth Date (yyyy/mm/dd)
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3
Child's Information-2
*
This field is required.
First Name
Last Name
Please Select
6
7
8
9
10
11
12
Please Select
Please Select
6
7
8
9
10
11
12
Grade
School
Birth Date (yyyy/mm/dd)
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4
Child's Information-3
*
This field is required.
First Name
Last Name
Please Select
6
7
8
9
10
11
12
Please Select
Please Select
6
7
8
9
10
11
12
Grade
School
Birth Date (yyyy/mm/dd)
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Next
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5
Parent/Guardian Name
*
This field is required.
First Name
Last Name
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6
Parent/Guardian Phone Number
*
This field is required.
Area Code
Phone Number
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7
Parent/Guardian Email
*
This field is required.
Please enter your email address below and choose whether you would like to receive weekly update emails. You may opt out anytime.
Please enter your email
Please Select
Yes, I would like to receive the weekly updates
I am already signed up to receive the weekly updates
No, I do not want to receive the weekly updates
Please Select
Please Select
Yes, I would like to receive the weekly updates
I am already signed up to receive the weekly updates
No, I do not want to receive the weekly updates
Would you like to receive the weekly email updates?
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8
Secondary Emergency Contact
*
This field is required.
Please list a person outside of your home (close friend, family member not living in your household, etc) who we could contact in case of an emergency and we cannot contact the Parent/Guardian listed above.
First and Last Name
Phone Number
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9
Allergies & Additional Info
Please list the child's name and any allergies or medical needs. Etc...
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10
Do we have your permission to take your child(ren) on the church bus to off campus events/activities?
*
This field is required.
Our bus is always driven by a licensed, responsible driver.
YES
NO
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11
Do we have your permission to post your child(ren)'s image on social media?
*
This field is required.
Example: Facebook, Instagram feed, Instagram stories, etc
YES
NO
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12
Permission Waiver and Liability Release
*
This field is required.
By signing below I verify I am the parent or guardian of the above registered child(ren) and all information is accurate. As the parent/guardian of the child registered above, I give permission to the Arnold Community Church staff and volunteers to oversee my child who is attending Youth for the duration of the 2025-2026 program. I hereby release Arnold Community Church employees and volunteers from any liability whatsoever arising out of any injury, damage, or loss which may be sustained by my child or children (registered above) during the course of involvement with Arnold Community Church. In the event of an accident, I give Arnold Community Church staff and volunteers permission to secure necessary medical aid, and I relieve Arnold Community Church of liability in such an event. I AGREE WITH THE ABOVE STATEMENT.
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13
Parent/Guardian Name
*
This field is required.
Please type your first and last name
First Name
Last Name
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