Girls Youth Group Registration Form

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Girls Youth Group Registration Form

Submit Girls Youth Group Registration Form

I agree with the terms above

Family Last Name *

Student #1 Name *

Student #1 Age *

Home Address *

Home Phone Number

Mother's Name *

Father's Name *

Mother's Phone Number *

Father's Phone Number *

Email Address *

Date : *

Sometimes we take photographs or videos of children either at school or when they are involved in organized activities away from the school site. Do you give permission to the Minaret Academy Saturday School to take photos or videos of your children? *

Yes, I give permission for the school to take photos or videos of my children

No, I do not give permission for the school to take photos or videos of my children

Name #1(Emergency contact) *

Phone #1 *

Relationship #1 *

Name #2(Emergency contact)

Phone #2

Relationship #2

Name #3(Emergency contact)

Phone #3

Relationship #3

Any Custody Info we should know about?:YES/NO SPECIFY *

OTHER INFO