CFG YOUTH REGISTRATION FORM

**Please fill out in conjunction with our liability form**

PARENT INFORMATION

Parent Name

First Name

Last Name

Parent Phone Number

(###)

###

####

Parent Email

STUDENT INFORMATION

Student Name

First Name

Last Name

Student Phone Number

(###)

###

####

Date of Birth

YYYY

Health Care Number

Health Care Province

Allergies or Medical Information

(please include any emotional, mental health, physical, or behaviour concerns)

EMERGENCY CONTACT INFORMATION

Primary Emergency Contact

First Name

Last Name

Primary Emergency Contact Phone

(###)

###

####

Relationship to Student

Secondary Emergency Contact

First Name

Last Name

Secondary Emergency Contact Phone

(###)

###

####

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

PARENTAL CONSENT & LIABILITY FORM

PLEASE PRESS SUBMIT BELOW AND THEN FILL OUT THE YOUTH LIABILITY FORM DIRECTLY UNDERNEATH.