Youth Group Information Form

This form is meant to be filled out as the teen participant of the ICF youth group. Please give as detailed information as possible. If the teen does not have their own email or phone number, please list the primary email to receive relevant information for them.

Teen has access to WhatsApp and would like to be added to the private group for announcements and information.

Date

Parent Contact Information

Medical and Emergency Information

In the case of an emergency, if the parents can not be reached, the emergency contact person will be called.

Information related to allergies, medical conditions or medical history

Photo Permission

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