YOUTH REGISTRATION

Our amazing team of Youth Leaders help vision become reality,

by encouraging a daily walk with Jesus Christ.

Name

First Name

Last Name

Year/Grade

School

Birth Date

YYYY

Please share any medical information, allergies, special needs, developmental delays, or other important info we should know so we can provide a safe and successful time for your child.

Parent/Guardian Name(s)

Phone Number of Parent/Guardian

(###)

###

####

Phone Number of Youth

(###)

###

####

Home Address

P.O. Box and Post Code

Please Note

By allowing your youth to programmes at and with Cayman Islands Baptist Church, they may be captured in photos/videos and may be featured in broadcast and print media on the church web site, publications and programs. If you have any concerns regarding this, please let us know at your earliest convenience.

Submitted by (type name in lieu of signature).

Date

YYYY

Parents: I'd like to help with...

Transportation

Snacks

Sunday Night Activities

Friday Night Activities

YOUTH REGISTRATION

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