SYG Registration Form

Sharptown Youth Group Registration

* Indicates required field

Student's Name *

First

Last

Birthdate *

Parent/Grandparent/Guardian's Name *

First

Last

Email *

Cell Number *

Home Phone Number *

Mailing Address (include street & P.O. Box) *

Line 1

Line 2

City

State

Zip Code

Country

Church You Attend (or write none) *

Emergency Contact #1 *

Emergency Contact #2 *

Phone Number *

Allergies or other Medical Information *

Name(s) of person(s) who may pick up this child from youth group activities. *

My child may walk or ride his/her bike home from youth group activities. *

Yes No

By submitting this form:

You are giving permission for your child to participate in local community events sponsored by Asbury and Mount Vernon United Methodist Churches' Youth Group during the 2020-2021 school year.
You understand that you will be asked to complete a health form with insurance information.
You are giving permission for your child to be photographed while at youth group and acknowledge that her/his picture may appear on church related social media sites or other church publications.

Submit