St. Matthew Baptist Church Youth Ministry
2026 "Set Apart" Purity Code & Banquet Registration Form
"You must be holy because I am holy"
1 Peter 1:16
Child 1
*
First Name
Last Name
Child 1 Age
*
Child 2
First Name
Last Name
Child 2 Age
Child 3
First Name
Last Name
Child 3 Age
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent(s) Ring Bearer/Key Holder's
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Classes Will Begin: April 18, 2026 at 10AM
Banquet: May 23, 2026: Time, TBA
Submit
Should be Empty: