Sunday Morning Youth / Grade 7/8’s – Carey Baptist Church

Sunday Morning Youth Registration Form

First & Last Name of Youth*
First Last
Date of Birth*
MM slash DD slash YYYY
Year at School*
School Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email of Youth
Phone Number of Youth
Parent/Guardian Name*
First Last
Relationship to the Youth*
Email of Parent/Guardian*
Mobile Phone Number*
Home Phone Number*
Names of siblings who are also in the group
Other important information (e.g. medical info, allergies, special needs, etc)
Parent/guardian signature*
Names of siblings who are also in the group
Other emergency contact details
Name
First Last
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Copy of carey-logo_church-hi-res

Harrisdale Church

51 Wright Rd, Harrisdale WA 6112

Forrestdale Church

540 Nicholson Road, Forrestdale WA 6112

Postal Adress

PO BOX 1409 Canning Vale WA 6970

JUMP Carey Early Development

Carey Baptist College

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