2017-2018 Youth Group Registration

 

Registration Form

The completed form will automatically be emailed to St. John's / Lafayette.  

Youth's Name *
Youth's Name
Youth's Name
Youth's Name
Youth's Name
Youth's Name
Address
Address
Phone *
Phone
Parent/Guardian Name
Parent/Guardian Name
Address 1
Address 1
Phone
Phone
Emergency Contact
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
Permission *
St. John's Episcopal Church | Lafayette may take photographs during this event. We use these photos to record our history and illustrate church life in our newsletter, on our website, and/or on social media. Please indicate whether or not you give permission for photos of your child/ren to be used in this way.