Youth Ministry Registration
Parents, please fill out this form for each student participating in Mercy Presbyterian Church's youth ministry.
*Youth ministry is for students 6th-12th grade
Questions? Contact
Jeremiah Sheets
Director of Music and Youth
561-236-6056
jeremiah.sheets@mercypres.org
Student Name
*
Birthdate
*
Parent Name
*
Parent Phone (First emergency contact)
*
Parent Email
*
This address will receive a confirmation email
Second Emergency Contact
Second Emergency Contact Phone
Additional Information (food allergies, special needs, etc.)
Submit
Description
Parents, please fill out this form for each student participating in Mercy Presbyterian Church's youth ministry.
*Youth ministry is for students 6th-12th grade
Questions? Contact
Jeremiah Sheets
Director of Music and Youth
561-236-6056
jeremiah.sheets@mercypres.org
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