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Aug 8, 2017

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Children and Youth Ministry Registration

Please use this form to register children and youth (0-18 years old) for ECOT's Children & Youth Ministry! For questions about Children's Ministry (birth-5th grade), please contact Mary Cotton. mary@episcopalvail.com

For questions about Youth Ministry (6th-12th grade), please contact our Office. office@episcopalvail.com

We have attached the Youth Ministry Handbook here for your review.

"*" indicates required fields

PARENT / GUARDIAN INFORMATION

Name*

First Last

Email*

Phone*

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

* If different from mailing address

Second Guardian

Click here to add another parent/guardian

Name

First Last

Email

Phone

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

* If different from mailing address

CHILD / YOUTH INFORMATION

Number of Children / Youth*

Please enter a number from 1 to 5.

Add only numbers 1 through 5. For more than 5, enter 5 here and contact mary@episcopalvail.com.

Child / Youth #1

Name*

First Last

Birthday*

MM slash DD slash YYYY

Email

Phone

Current Grade

School

Other Information

to help us serve them better

Child / Youth #2

Name

First Last

Birthday

MM slash DD slash YYYY

Email

Phone

Current Grade

School

Other Information

to help us serve them better

Child / Youth #3

Name

First Last

Birthday

MM slash DD slash YYYY

Email

Phone

Current Grade

School

Other Information

to help us serve them better

Child / Youth #4

Name

First Last

Birthday

MM slash DD slash YYYY

Email

Phone

Current Grade

School

Other Information

to help us serve them better

Child / Youth #5

Name

First Last

Birthday

MM slash DD slash YYYY

Email

Phone

Current Grade

School

Other Information

to help us serve them better

EMERGENCY CONTACT INFORMATION

Name*

First Last

Phone*

Newsletter Signup

By submitting this form, I understand that I will be added to the EpiscopalVail Newsletter signup contact list. I also understand that I can opt-out of this subscription by clicking the unsubscribe link on the bottom of any of the emails I receive from EpiscopalVail or by contacting our Communications Director.

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