2026 Children & Youth Week Registration
Please select the events you’re attending and complete your details for each one.
Parent/Guardian's Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which events would you like to register for?
*
Youth Football Game - September 25th at 7:30pm Eastern High School
Youth Lock-in - September 25th from 10pm-7am
Rays of Hope Retreat - September 26th from 10am -3pm
Emergency Contact
*
First Name
Last Name
Relationship to Child/Youth
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Next
Child/Youth's Name - 1
First Name
Last Name
List any allergies.
Child/Youth's Name - 2
First Name
Last Name
List any allergies.
Child/Youth's Name - 3
First Name
Last Name
List any allergies.
Child/Youth's Name - 4
First Name
Last Name
List any allergies.
Child/Youth's Name - 5
First Name
Last Name
Please list any known allergies, including food, medication, or environmental.
Please share any chronic medical conditions (diabetes, asthma, etc.) or other health concerns:
By checking this box, I acknowledge that participation in the Children & Youth Week (Youth Lock-in & Rays of Hope Retreat) involves physical activity and carries a risk of injury. I voluntarily participate, assume all associated risks, and release Green Castle Baptist Church, its staff, and volunteers from liability for injuries arising from my participation, including those resulting from ordinary negligence, to the fullest extent permitted by law
*
Yes, I agree.
By checking this box, I grant GREEN CASTLE BAPTIST CHURCH the absolute and irrevocable right to use, publish and display photographs and videos of me in any media for portfolio, promotional, or commercial purposes. I release them from any claims related to privacy or my likeness:
*
Yes, I agree
No, I do not agree
Register
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