Registration Form

LITGROUPS 2026 Fall Registration

Please fill out the registration form below.

Name:*
Address:*
Phone:*
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Birthdate:*
 / 
 / 
Grade:*
Gender:*
I would like to register my child for (select one): *
My child will be: *
The people who have permission to pick up my child are: *
Additional Comments:
Parent/Guardian Information
Your relationship to the participant: *
Parent/Guardian Address:*
Parent/Guardian E-mail:*
Emergency Contact Number #1:*
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Emergency Contact Number #2: *
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Participant Information
Allergies (list here):
Dietary Allergies (list here):
Medications required by participant:
Please list any physical, emotional, or behavioral concerns:
Parent Contract
I consent to my child/ward attending the YFC LITGroups program for the selected above dates*
I give YFC permission to obtain personal information about my child/ward for the purpose of communications and registartion requirements *
I give permission for my child's/ward's photo to be taken and used in the communication a and promotion of YFC events*
I have read and understand the parent information document (link at top of page)*
Parent/ Guardian Name:*
Date:*

 

Also be sure to read: