Erieside Youth Info Sheet — Erieside Church

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Youth Info Sheets (Fall 2022)

This form is for collecting information on our Students (& Parents) for the purpose of keeping in regular contact about upcoming events & discipleship opportunities for Erieside Youth Students throughout the year!

Parent/Primary Contact Info:

Primary Contact Name(Required)

First Last

Primary Contact Phone(Required)

Primary Contact Email(Required)

Best Means of Contact(Required)

Text

Email

Either is fine

Address(Required)

Street Address Address Line 2 City State ZIP Code

Secondary Contact Name(Required)

First Last

Secondary Contact Phone(Required)

Secondary Contact Email(Required)

How many 6th-12th Grade Students do you have?(Required)

Please enter a number from 1 to 3.

Student 1 Info:

You decide whether it's based on age or whether they're your favorite--we won't tell...

Student Name(Required)

First Last

Student Phone(Required)

Student Birthdate(Required)

MM slash DD slash YYYY

Student Email(Required)

Student School(Required)

Student Grade(Required)

Please enter a number from 6 to 13.

Any Food/Other Allergies?(Required)

I am ok with Youth Leaders Contacting my Student outside the context of regular Bible Studies/Events.(Required)

Yes

No

Only same-gendered Leaders

I am ok with my Student having an Adult Mentor.(Required)

Yes

No

Please contact me first

I am ok with my Student being photographed at Events & during Bible Study.(Required)

Yes

No

Only internal use (No social media)

Student's favorite Candy/Snack

Student's favorite Band

Where is your Student most gifted (in your opinion)?

Where does your student need growth in their walk with the Lord?

Anything else we should know about your Student?

Student 2 Info:

Student Name

First Last

Student Phone

Student Birthdate

MM slash DD slash YYYY

Student Email

Student School

Student Grade

Please enter a number from 6 to 13.

Any Food/Other Allergies?

I am ok with Youth Leaders Contacting my Student outside the context of regular Bible Studies/Events.

Yes

No

Only same-gendered Leaders

I am ok with my Student being photographed at Events & during Bible Study.

Yes

No

Only internal use (No social media)

I am ok with my Student having an Adult Mentor.

Yes

No

Please contact me first

Student's favorite Candy/Snack

Student's favorite Band

Where is your Student most gifted (in your opinion)?

Where does your student need growth in their walk with the Lord?

Anything else we should know about your Student?

Student 3 Info:

Student Name

First Last

Student Phone

Student Birthdate

MM slash DD slash YYYY

Student Email

Student School

Student Grade

Please enter a number from 6 to 13.

Any Food/Other Allergies?

I am ok with Youth Leaders Contacting my Student outside the context of regular Bible Studies/Events.

Yes

No

Only same-gendered Leaders

I am ok with my Student being photographed at Events & during Bible Study.

Yes

No

Only internal use (No social media)

I am ok with my Student having an Adult Mentor.

Yes

No

Please contact me first

Student's favorite Candy/Snack

Student's favorite Band

Where is your Student most gifted (in your opinion)?

Where does your student need growth in their walk with the Lord?

Anything else we should know about your Student?

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