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Christian Youth Education Registration
Christian Youth Education Registration
Christian Youth Education Registration
Parent/Guardian Name
First
Last
New or Returning
*
If you are registering your child for the 1st time, welcome! Please complete all the information on this form. If your child has previously attended Youth Education, welcome back! You only need to update any information that has changed such as phone numbers, emails, allergies or special needs.
NEW to Youth Education at New Life
RETURNING to Youth Education (Complete below only if changes)
Child(ren) Information
Add additional children, click the + sign on the right side.
First & Last Name
Birthdate
School grade this fall
Address
Street Address
Address Line 2
City
ZIP Code
Email
Phone
Allergies or special needs information
Consent
I give permission to have my child photographed or filmed as participating in New Life's activities for any lawful purpose.
How did you hear about our Youth Education program?
Attend New Life
Website
Facebook
Friends at New Life
Community group that meets at New Life
Other