>
>
>
Youth Ministry Registration

Youth Ministry Registration

Name
Date of Birth
popup calendar
Age as of September 1, 2011
Grade as of September 1st
Projected High School Graduation Date
Address
Phone (Best number to reach you)
Email Address
Parent(s)/Guardian(s)
Parents'/Guardians' Cell Phone Numbers
Emergency Contact (other than parents)
Emergency Contact Telephone
Allergies
Special Needs
Which Sunday morning can you help provide light brunch?
popup calendar
Which Sunday morevening can you assist with meeting and provide food?
popup calendar
Media Release

I give permission for my child to attend St. Anne’s Episcopal Church program and to be photographed, videotaped, or audiotaped. I further agree that any or all the materials recorded may be used, in any form, as part of any future production(s) made by and for St. Anne’s Episcopal Church, and further that such use shall be without payment of fees, royalties, special credit, or other compensation. If recorded materials are used in St. Anne’s web site, parish newsletter, or Diocesan newspaper the name of the participant will not identified.

Parents, please type your name below if you give your child permission as stated above.
Youth Leadership Core - Please select the areas your young person may be interested in













All Material © 2008 St. Anne's Church, Annapolis, MD 21401-2520

Powered by Agency of Record