Facebook-f Twitter Youtube

Youth Program Registration

HomeYouth Program Registration

Register

Information received is confidential and is being gathered for the purposes of serving your Child while in the care of "Rooted - Humboldt Youth Group" (Rooted - HYG). Any medical information collected here serves to authorize "Rooted - HYG" , and its Staff and Volunteers, to obtain medical assistance in emergencies. This form shall be completed annually by the Parent/Care Giver.

    IN CASE OF EMERGENCY

    CONSENT

    1. Does your child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of?

    2. Is your Child bringing any medication with him/her?

    3. I/We grant permission for the reasonable use of pictures containing your Child in any or all of the following ways:

    4. Communication: I/We grant permission for the Youth Program Personnel (staff, volunteers, and other students) to communicate with your Child via…

    If you checked yes to phone or email in the previous question, please enter the appropriate field.

    5. Parent Communication: I/We grant permission for Youth Program Personnel (staff, volunteers, and other students) to communicate with me for Junior Youth future events via…

    If you checked yes to phone or email in the previous question, please enter the appropriate field.

    6. I/We grant permission for the Youth Program Personnel to share information to the local church for purpose of prayer support/prayer sponsor.

    By using this form you agree with the storage and handling of your data by this website.

    Program Details

    Date: Wednesdays 
    Time: 7:00 pm
    Ages: Junior Youth = GR 6 – 8 & SR Youth = GR 9 – 12

    *Refer to the events calendar for accurate dates and times. Some programs may be cancelled or changed without notice.

    DOWNLOAD FORM

    For assistance, please email humboldtalliancechurch1@sasktel.net