Outreach / Missions
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Contact Forms for Youth Ministries
Church, Youth Group)
Child's First Name
Child's Last Name
Parent/Guardian First & Last Name
Secondary Contact First & Last Name
Secondary Phone Number
List all adults who are eligible to pick your child up from our youth ministries. Anyone not listed will not be permitted to pick up your child from our ministries. Please take your time while filling this out, including the first and last names of those eligible to pick up your child.
Additional Information: This section can include but is not limited to allergies, person(s) not permitted to pick up your child, special needs, etc.
Thanks You & God Bless!