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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?

*

A

Yes

B

No

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?

*

A

Yes

B

No

C

No to Social Media but Yes to photos in the church

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.