Youth Bible Study 2019-2020

Youth's Name:

Birthdate

Grade

Parent/Guardian's name:

Best Contact Number:

Address:

Email:

This address will receive a confirmation email

Allergies/Medical conditions:

Pick Up: List EVERY individual that can pick up your child: (ID's will be checked upon pick up)

Photo release

I give my consent to St Rose Community Church to take and use photos of the individual listed on this form to be published online for church purposes only.

Permission to use photos

I give consent to take and use photos I do not consent to take and use photos

Bus Info

We have a bus ministry that is able to pick up and drop off your child for Youth on Wednesday nights. In order for your child to ride on the bus we need consent that you are allowing us to pick up your child. By answering the questions that follow you are giving your consent for St Rose Community Church to pick up and drop of your child.

Will your child need to be Picked UP on the bus Yes No

Will your child need to be Dropped OFF on the bus Yes No

I am giving my consent for my child to ride the St Rose Community Church Bus to 510 Oak Street for Youth Bible Study Yes No

E-Signature

Additional Info:

Address for pick up/drop off if different than above

Description

The fall semester starts on Wednesday, August 14th. Youth group will be taking place at 510 Oak street due to the growth of the youth and children's ministry

Youth Bible Study 2019-2020

Description

Please Fix the Following