The Sanctuary Church of Indianapolis - Youth Group Online Registration

Household Information

Please list all youth (13 through 18 years old) who will participate in online Youth Group.

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian First Name

Parent/Guardian Last Name

Address 1

Address 2

Country

City

State

Zip/Postal Code

Phone Number

Email Address

CHILD 1

Age

CHILD 2

AGE

CHILD 3

AGE

CHILD 4

AGE

Will Your Youth Be Present On March 8th, 2022?
Yes
No

Will An Electronic Device Be Available For Your Child To Use
Yes
No

By checking, I agree to have my child(ren) ready and available for online Youth Group on March 8th, 2022 at 6pm.
I Agree