Forks Community Church - Easton, PA Church

Pre-Register Your youth Here

Night Crew Information form

Youth's Name

Preferred Nickname

Youth's Phone Number

Grade

Birthday (mm/dd/year)

Parent's Mobile Number

Parent's Email

Home Address

Parent/Legal Guardian (Last, First)

Parent/Guardian address if different from child

Allergies (Please include food allergies)

Concerns (including behavior) if any

Anything you would like us to know about your child

Who is allowed to pick up your child after Night Crew? (Name & Relationship to child)

Is there anyone your child is NOT allowed to leave with due to guardian/legal issues? If yes, please specify name and relationship. Please bring a photo of this person to be kept on file with Night Crew Volunteers.

Photo Release: Please choose one answer from the drop-down menu below

By typing my name below, I acknowledge that all information given is true and correct. I understand this information will be used solely by FCC volunteers and the Staff of Forks Community Church.

First Name

Last Name

Submit