ABC Youth Registration
Student Details
First Name
Last Name
Gender
Male
Female
Date of Birth
School Grade
-- None --
Kindergarten
Pre-Primary
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Allergies
Peanuts
Gluten
Dairy
Seafood
Bee stings
Dietary/Medical Needs
Parent Contact
Parent/Guardian Name/s
Email Address
Mobile Number
Permissions
I give permission for my child to attend ABC Youth at Albany Baptist Church
Yes
I understand that ABC Youth leaders will contact me should medical or behavioural issues arise
Yes
I would like to be updated weekly with ABC Youth details, information and events
Yes Please
No Thanks
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