Youth Group Registration 2025

Info: pastorzubby@gracechapel.ca

Youth's First Name *

Youth's Last Name *

Youth's Mobile Number

Youth's Email Address

Date of Birth *

School Grade *

School *

School Not Listed Above

Tip: If your school is not listed above please type it in here.

Parent 1 First Name

Parent 1 Last Name

Parent 1 Email Address

Parent 1 Mobile Number

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email Address

Parent 2 Mobile Number

I consent to the Youth Pastor communicating with my child 1-on-1 in the following ways:

Phone

Instagram

I would like to be copied on all 1-on-1 messages sent to my child (mandatory for Junior High)

I consent to photos of my child being taken during Youth Group and used for promotional purposes (posting on Instagram, slide show on Sunday etc.)

Please note our Child Protection Policy states:

- Staff will not have 1-on-1 contact with youth under the age of 13 by text or social media

- Staff will copy parents on every 1-on-1 text and email for students in junior high

- Communication done via social media and email shall be done through an official Grace Chapel account, which multiple people have access to for accountability reasons