Youth Kickback
The Youth Kickback for ages 5–18 will be held on Saturday, August 1, 2026 from 10:00 AM to 12:30 PM at the Watkins Drive Campus.
Youth's Name
*
First Name
Last Name
Youth's Age
*
Please Select
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Youth's Gender
*
Male
Female
Does your youth have any food allergies?
*
Yes
No
Please list your youth's food allergies.
*
Parent or Guardian's Information
How many parents or guardians would you like to list?
*
1
2
Parent or Guardian's Name
*
First Name
Last Name
Parent or Guardian's Email
*
example@example.com
Parent or Guardian's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How is the parent or guardian listed above related to the youth?
*
Please Select
Mother
Father
Stepmother
Stepfather
Foster Mother
Foster Father
Legal Guardian
Grandmother
Grandfather
Aunt
Uncle
Other Relative (Guardian)
Is the parent or guardian listed above a member of New Hope Baptist Church?
*
Yes
No
Parent or Guardian's Name
*
First Name
Last Name
Parent or Guardian's Email
*
example@example.com
Parent or Guardian's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How is the parent or guardian listed above related to the youth?
*
Please Select
Mother
Father
Stepmother
Stepfather
Foster Mother
Foster Father
Legal Guardian
Grandmother
Grandfather
Aunt
Uncle
Other Relative (Guardian)
Is the parent or guardian listed above a member of New Hope Baptist Church?
*
Yes
No
Submit
Should be Empty: