Youth Group Registration 2016-17 Please provide information for any students 7th-12th grade who will be participating in Lifespring Community Church's youth events this year.Off-site events (retreats, field trips, etc.) will still have a separate permission and medical release form that will be sent home per event as needed. Question Title * 1. Family Information Parents' Names Street Address City, State, Zip Home Phone Number Question Title * 2. Individual Parent Contact Info Mom Cell Mom Email Dad Cell Dad Email Question Title * 3. Additional address (ex. for non-custodial parent, guardian, etc) Question Title * 4. Teen 1 Information Teen Name Teen Cell Number Teen Email Address Age / Grade Birthdate School Question Title * 5. Teen 2 Information Teen Name Teen Cell Number Teen Email Address Age / Grade Birthdate School Question Title * 6. Teen 3 Information Teen Name Teen Cell Number Teen Email Address Age / Grade Birthdate School Question Title * 7. Teen 4 Information Teen Name Teen Cell Number Teen Email Address Age / Grade Birthdate School Question Title * 8. I grant permission for approved program leaders / drivers to transport my child in church or private vehicles for on-site and off-site activities, according to standing church policy, for the 2016-17 ministry year. Yes No Question Title * 9. I would like to receive announcements and reminders about youth events via: (Check all that apply) Home Phone Mom Cell Dad Cell Teen(s) cell Mom Email Dad Email Teen(s) Email I do not wish to be on any contact lists at this time. Done