Event Registration Form Teen Glow-in-the-Dark Easter Egg Hunt Question Title * 1. Student's Name: (Required.) Question Title * 2. Student's Grade Question Title * 3. Parent/Guardian Name Question Title * 4. Parent/Guardian Phone Number Question Title * 5. Parent Email: (Required.) Question Title * 6. Does the student have any medical conditions, allergies, or medications Yes No If Yes, please provide specific information Question Title * 7. In the event of an emergency, I authorize the youth directors or designated church leaders to seek necessary medical care for my child, including but not limited to hospitalization, x-ray examinations, or other treatments deemed necessary by a licensed healthcare provider. Yes No Question Title * 8. I grant permission for the student's photo to be used in church activities or promotions Yes No Question Title * 9. Typed Signature of Parent/Legal Guardian Question Title * 10. Date of Signature Date Date Done