2024 -2025 YOUTH MINISTRY REGISTRATION

As we head into a new ministry season we want to make sure we have accurate information for each youth. Thanks for taking the time to fill out this form.
YOUTH INFORMATION

 
Please select one option.
Please select one option.
 
Please select one option.
Please select one option.
 
Please select one option.
 
Please select all that apply.
PARENT (GUARDIAN) INFORMATION

 
 
 
 
 
 
 
 
 
EMERGENCY CONTACT & INSURANCE INFORMATION

 
 
 
 
 
MEDICAL RELEASE and INFORMATION

Please select one option.
Please select one option.
Please select one option.
Please select one option.
 
 
 
 
 
PHOTOGRAPH AND VIDEO RELEASE

Confidentiality of information is of utmost importance to Manhattan Christian Reformed Church which offers and supports the MCRC GEMS, Cadets and youth ministries. At times, photographs and videos are used to promote MCRC's programs in the media, at displays or on the church's website. Names will not be used, just photographs.
Please select one option.
Please select one option.
 
 
 

Description

As we head into a new ministry season we want to make sure we have accurate information for each youth. Thanks for taking the time to fill out this form.