Youth Group Registration Form

Youth Name

Nickname

Date of birth:

Age as of September 2023:

Grade in September 2023

School

Names of Parents/Guardians:

Address Line 1:

Address Line 2:

City:

State:

Zip code:

Home Phone Number:

Parent Email Address:

Parent/Guardian Name and Cell h

Parent/Guardian Name and Cell Phone:

Are you new to Christ Church?

If yes, I would like a parent or member of the clergy to call me

Yes

Please list any allergies your child has:

My child is interested in serving as an acolyte, greeter or lay reader (please list)

My child is interested in singing with the choir:

Yes

I am able to help with meals/transportation/other

I give permission for this child to have his/her photo used (without name( on the Christ Church website, e-Prophet or other newsletters.

I give permission for medical treatment for this child in case of accident or illness if a parent or guardian cannot be located or an emergency should arise

About Us

The Vision of Christ Church to be an open, welcoming Episcopal congregation living the Gospel of Jesus Christ....

Location & Contact

33 Central St., Andover, MA 01810 | 978-475-0529

Everyone is Welcome at God's Table

Youth Group Registration Form