cfg youthREGISTRATION FORM Please fill out in conjunction with our liability form. PARENT INFORMATION Parent Name * First Name Last Name Parent Phone * Country (###) ### #### Parent Email * STUDENT INFORMATION Student Name * First Name Last Name Student Phone * Country (###) ### #### Date of Birth * MM DD YYYY Health Care Number * Health Card Province * Allergies or Medical Information Please include any emotional, mental health, physical, or behaviour concerns that are prevalent. EMERGENCY CONTACT INFORMATION Primary Emergency Contact * First Name Last Name Primary Emergency Contact * Country (###) ### #### Relationship to Student * Secondary Emergency Contact * First Name Last Name Secondary Emergency Contact * Country (###) ### #### Relationship to Student * Please ensure that you also fill out the parental consent/liability form to give your student permission to participate in all aspects of the CFG Youth Program. Calgary Full Gospel is collecting and retaining this information for the purpose of enrolling your child in our programs, ensuring that your child is safe in our care, and developing clear channels of communication with you. If you wish to limit the information collected, or to view your child's information, please contact us. Our goal is to create a safe and fun environment for your child. If you have any questions about our policies, leadership, or program, please feel free to contact the youth team at: sarah@cfg.church PARENT CONSENT & LIABILITY FORM PLEASE PRESS SUBMIT BELOW AND THEN FILL OUT THE YOUTH LIABILITY FORM DIRECTLY UNDERNEATH. Thank you! LIABILITY FORM below must be completed for Youth Registration to be complete!