BYF 2022-2023
If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)

If you have previously registered with us for a prior event, you can search for your stored information instead of filling out the form below.
Personal Information
*Participant's First Name:
*Participant's Last Name:
*Address:
*City:
*State:
*Zip:
Student Cell Phone:
(555-555-5555 Leave blank if none)
Student Email:
(Leave blank if none)
*Birthday:
(MM/DD/YYYY)
*Grade:
(upcoming school year)
Gender:
Allergies, Medical, & Special Needs:
(Leave Blank if None)
*Parent/Guardian Name:
*Parent/Guardian #1 Cell:
(555-555-5555)
*Parent/Guardian #1 Email:
Parent/Guardian #2 Name:
Parent/Guardian #2 Cell:
(555-555-5555)
Parent/Guardian #2 Email:
*Emergency Contact (OTHER than parent) Name:
(In case cannot reach Parent/Guardian)
*Emergency Contact Phone:
(555-555-5555)
Authorized Pick Up:
(Individual Other than those listed above who is authorized to pick up)
May we have permission to photograph your child?:
May we have permission to use your child's photograph in church publications?
*T-Shirt Size:
Comments:
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