Hopewell Reformed Church - Youth Group Registration

2025 HRC Youth Group Registration

All parents please fill out the below registration form if your child is currently attending HRC's Youth Group Program or is interested in attending in the future.

HRC Youth Group Registration

Parent First Name

Parent Last Name

Parent Email

Parent Number

Student's First Name

Student's Last Name

Student's Email

Student's Phone Number

Student's Birthdate

Student's Gender

Student's Grade

Student's Allergies

Student's School

Student's Extracurricular Activities (Sports, Drama, etc)

List all students Likes and Interests

Emergency Contact Details- Name, Number and Relationship to student in the case of emergency

Are you ok with your child being on Hopewell Reformed Church Social media pages?

Yes

What do you hope this student will get out of Hopewell Reformed Church's Youth Group program?

List anything else that would be helpful to know about this student?

Do you have another student to register?

Yes

Student's First Name

Student's Last Name

Student's Email

Student's Phone Number

Student's Birthdate

Student's Gender

Student's Grade

Student's Allergies

Student's School

Student's Extracurricular Activities (Sports, Drama, etc)

List all students Likes and Interests

Emergency Contact Details- Name, Number and Relationship to student in the case of emergency

Are you ok with your child being on Hopewell Reformed Church Social media pages?

Yes

What do you hope this student will get out of Hopewell Reformed Church's Youth Group program?

List anything else that would be helpful to know about this student?

Do you have a 3rd student to register?

Yes

Student's First Name

Student's Last Name

Student's Email

Student's Phone Number

Student's Birthdate

Student's Gender

Student's Grade

Student's Allergies

Student's School

Student's Extracurricular Activities (Sports, Drama, etc)

List all students Likes and Interests

Emergency Contact Details- Name, Number and Relationship to student in the case of emergency

Are you ok with your child being on Hopewell Reformed Church Social media pages?

Yes

What do you hope this student will get out of Hopewell Reformed Church's Youth Group program?

List anything else that would be helpful to know about this student?

< Back

Next >

Submit