Verity Youth Registration 2025-26

Verity Youth Ministry is a ministry of Verity Community Church. This registration form allows us to best serve and protect your youth.

Your name *

Email address *

Phone number *

Address *

Youth #1 Name *

Youth #1 Birthdate *

Youth #1 Medical Notes

Please let us know if your youth has any medical concerns (allergies, medications, etc) that we should be aware of.

Youth #1 Other Notes

Please let us know if you have additional information to help us serve your youth.

Do you have a second youth to register in Verity Youth? *

Media and Video Consent *

Do you consent for pictures or videos of your children to be used for promotional purposes (Video presentations, website, or other media)? This can be modified by sending an email notice to our office at any time.

Thank you!

Don't forget to hit 'SUBMIT" so we can best serve your family!
Note: If you have more than four youth who are attending please complete an additional form to ensure we have the information on all the youth.

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