Harvest Youth Group Short Registration

Please fill out this form and click submit.

Junior Youth: Grades 5-8
Senior Youth: Grades 8-12

Please fill out this form if you have previously filled out a full registration. You only need to fill out the sections that have changed since last year.

Please make sure you fill out the section that asks how you prefer communication. That is new this year.
Please also fill out the photo consent part at the end. That was a portion that did not transfer over from our old system, so I would appreciate an update for everyone. Thank you.

Youth Information

First

Date of Birth

School Grade (For 2025-2026)

Please select one option.

K 1 2 3 4 5 6 7 8 9 10 11 12

Contact Phone Number

Contact Email Address

How would you prefer communication?

Please select one option.

Email Text

Personal Health Number (BC Care Card)

Allergies/Medical Conditions

Do you currently attend a church?

Please select one option.

Yes No

If so, what church do you currently attend?

Other Information

Primary Caregiver Information

Primary Caregiver Name (First and Last)

Primary Phone Number

Primary Email Address

Alternate Phone Number

Parent / Legal Guardian Info (if different from Primary Caregiver)

Legal Guardian Name (First and Last)

Legal Guardian Phone Number

Legal Guardian Email Address

Emergency Contact Information

In case of emergency we will attempt to reach the Primary Caregiver first, then the Parent or Legal Guardian if different from Primary Caregiver. This emergency contact info will only be used if we cannot reach either of those.

Emergency Contact Name (First and Last)

Emergency Contact Phone Number

Relation to the Youth

Consent to using photographs and videos of your child for promotion and social media.

Please select one option.

Yes No

Description

Please fill out this form and click submit.

Junior Youth: Grades 5-8
Senior Youth: Grades 8-12

Harvest Youth Group Short Registration

Description

Please Fix the Following