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DBC Youth Registration

Youth's Name

Your Name

Your Email

Your Phone Number

Youth's Birthday

Youth's Grade

Any allergies or health concerns we should be aware of?

Any allergies or health concerns we should be aware of?
A
B
We like to promote our events on social media and we also have places in the church where a photo might be posted.

Can your Youth have their picture taken and displayed?

Can your Youth have their picture taken and displayed?
A
B
C

Who should we contact other than you in case of emergency (name and number)

Thank you for filling out the Registration Form! Check us out on Facebook: Dalmeny Bible Church Youth and Instagram: @dalmenyyouth for updates.