UMCL Youth Group Registration

United Methodist Church of Livonia, NY

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UMCL Youth Group Registration

UMCL Registration/Consent Form

Please complete this form so we can better communicate and keep you informed about our activities and events.

Youth Information:

Full Name of Youth

Date of Birth

Age

Grade

Parent/Guardian Information:

If a second parent/guardian should be added, select Add Another Person.

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Relationship to youth?

Is the "Primary Contact" the emergency contact person?

Yes

Name and phone number of emergency contact person.

Other Information

Medical Information: Does the youth have any allergies or medical conditions we should be aware of? (Answer no or please specify)

Communication Preference (Please check all that apply)

Text Message

Phone Call

Printed Handout

Media Release Consent: We occationally take photos and videos during our Youth Group activities for promotional purposes. Do we have your permission to include your child in these materials?

Yes

Additional Information/Comments: Is there anything else you would like us to know about your youth, or any questions you have for us? Please let us know below.

Signature & Date

By signing below, you acknowledge that you have provided accurate information and agree to receive communication from the UMCL Youth Group regarding activities, events, and updates.

Today's Date

Signature

Youth Survey

Have your youth take a few minutes to complete this welcome survey to help us get to know him/her better and tailor our activities to their interests and needs. The responses will be kept confidential and used solely for the purpose of enhancing your youth's experience within the group.

What are your hobbies or interests?

Is there a particular activity or topic you'd like to see us include in our youth group activities?

What motivated you to join the UMCL Youth Group?

What are you hoping to gain or experience through your participation in UMCL Youth Group?

Are there any specific goals or areas of personal growth you/d like to focus on during your time in UMCL Youth Group?

Have you attended any of our events or meetings in the past?

Yes

Is there anything else you'd like us to know about you, your interests, or any special needs you might have?

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Address

United Methodist Church of Livonia
21 Summers St.
Livonia, NY 14487

Sunday at UMCL

Worship at 9 AM
Sunday School - 9 - 10 AM

Contact Info

Church
(585) 346-3511
Pastor
(585) 346-3529

Email UMCL