St. Mark's EDGE 2017-2018 Online Registration

Welcome to the online registration portion of EDGE at St. Mark's Church in Stouffville for the 2017/2018 school year!

If you need any assistance with this form, please contact Krystiana or Ben (Youth Ministers) in the Parish Office at 905 640 6954 or by email at stmarksyouthministry@outlook.com

Please read each section carefully before filling out your responses. After you have submitted the form, you should receive a confirmation message if your registration form has been submitted successfully.

Please note that further signatures are required to complete registration.This second portion of EDGE registration can be completed at drop-off at the first EDGE night your child attends.

Looking forward to meeting you!
YOUTH INFORMATION

 
Please select one option.
Birthdate (DD-MM-YYYY)
 
Please select one option.
 
Please select one option.
Please select one option.
PARENT/GUARDIAN INFORMATION

We will be communicating by email whenever possible. All emails sent will be related to EDGE eg. upcoming dates and events.

PLEASE NOTE: WE REQUIRE ONE MAIN PARENT/GUARDIAN EMAIL ADDRESS ONLY. PLEASE INDICATE BELOW.
 
Child's Home Phone Number and Home Address
 
 
 
Parent/Guardian Contact Information
 
 
 
 
 
 
 
 
 
 
 
 
EMERGENCY CONTACT

Please provide us with a secondary emergency contact. Parents/guardians are always the primary emergency contact. In the case that parents/guardians cannot be reached, this emergency contact will be contacted.
 
 
 
MEDICAL INFORMATION

Information received is confidential and is being gathered for the purposes of serving your child while in the care of St. Mark's Church. Any medical information collected here serves to authorize St. Mark's Church, and its staff and volunteers, to obtain medical assistance in emergencies.
 
 
Please select one option.
 
 
 
 
Please select one option.
 
 
 
 
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Please note that all medications except inhalers must be turned in to the Youth Minister to be kept in a secure location. Please notify us about any serious conditions that require close supervision. Also note that permission is required for an adult to administer an EpiPen.

Description

Welcome to the online registration portion of EDGE at St. Mark's Church in Stouffville for the 2017/2018 school year!

If you need any assistance with this form, please contact Krystiana or Ben (Youth Ministers) in the Parish Office at 905 640 6954 or by email at stmarksyouthministry@outlook.com

Please read each section carefully before filling out your responses. After you have submitted the form, you should receive a confirmation message if your registration form has been submitted successfully.

Please note that further signatures are required to complete registration.This second portion of EDGE registration can be completed at drop-off at the first EDGE night your child attends.

Looking forward to meeting you!