Register for Youth Group 2022-23
Please fill out the form below to register for youth group at Temple Baptist for the 2022-23 school year.
First Name
Last Name
Gender
Male
Female
Date of Birth
Graduation Year
Address Line 1
Address Line 2
City
State
Postal Code
Phone
Email
Parent Names 1
Parents Phone 1
Parents Email 1
Parent Names 2
Parents Phone 2
Parents Email 2
School Grade Last Completed
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
Invited By
Notes
I agree to follow the expectations of the youth groups, as outlined by the youth group leaders. I agree to allow Temple Baptist Church to use photographs, audio and/or video recordings of me during youth group activities.
I agree to the statement displayed above, as indicated by my electronic signature:
Electronic Signature
Date
Relationship
Self
Parent
Legal Guardian
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