Life in Christ Church - Youth Info Form

Youth Information

We're so glad you have entrusted us with your student! Please fill out the form below so that we can have the information on file.

Student's Name (first and last)

Parent's Name (first and last)

Parent's Phone

Student's Phone (if available)

Address 1

Address 2

Country

City

State

Zip/Postal Code

Email

Student's Birthday

Student's Grade

Student's School

How many times has your family attended Life in Christ?
One time
A few times
Regular attender

Does the student have any allergies or take any medications we need to be aware of?

Anything we should know about the student attending youth?

Do you give permission to have pictures taken of your student?
Yes
No

Do you give permission for pictures of your student to be posted on social media?
Yes
No