Youth Group Registration 2023-2024

Visit our website to learn about upcoming programming.

* Child First Name

* Child Last Name

* Parent(s) Names

* Parent Email Address #1

* Parent Email Address #2

* Does your child have any allergies? If so, please list below

Is there any other information we should know about your child?

* Name(s) of individuals who can pick up your child from youth group.

* Emergency Contact - please include name/ phone # of 2 individuals

Insurance Information (Company, Policy #)

* Registration Options

Register my child for session 1 (Nov, Dec, Jan) at $75Register my child for session 2 (Feb, March, April, May) at $100Register my child for the full year (7 programs) at $150TEEN YOUTH GROUP (7th - 12th grade) at $125 for 6 programs

* I acknowledge that the fee paid for youth programming does not include field trips outside of MJC. There will be an additional cost for trips that will be planned throughout the year.

I acknowledge that the fee paid for youth programming does not include field trips outside of MJC. There will be an additional cost for trips that will be planned throughout the year.

Visit our website to learn about upcoming programming.

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