Saint Luke UMC - Youth Information/Communication Form

Youth Student Information Form

Youth Contact Info:

Youth's First Name

Youth's Last Name

Gender

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Cell Phone Number

Grade for the 2024-2025 School Year:

School for the 2024-2025 School Year:

Is your youth active on Facebook?

Yes

Not Sure

Is your youth active on Instagram?

Yes

Not Sure

Parent/Guardian Contact Information:

Please list at least 2 phone numbers you can best be reached at while we are on a retreat or an overnight event. We will continue to use the “Remind” App for quick communication. Got to: https://www.remind.com/join/stlukprnts to join the UMYF Parent group.

Parent/Guardian #1 First Name:

Parent/Guardian #1 Last Name:

Cell Phone Number:

Work Phone Number:

Home Phone Number:

Parent/Guardian #2 First Name:

Parent/Guardian #2 Last Name:

Cell Phone Number:

Work Phone Number:

Home Phone Number:

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