Registration Form

First Name

Last Name

Email Address

Date of Birth

Home Address

Phone Number

Parent/Guardian Full Name

Relationship to the Participant

Parent/Guardian Phone Number

Parent/Guardian Email Address

Current School Name

Grade / Year Level

For College Students: Program of Study

What are your main areas of interest? (Check all that apply)

Faith & Spiritual Growth

Purpose Discovery & Mentorship

Adventure & Creativity

Recreational & Social Development

Other (please specify under Message)

Do you have any allergies?

Do you have any medical conditions we should be aware of?

Do you require any special accommodations?

Consent & Privacy

I consent to my child/ward participating in programs organized by The Living Sacrifice.

I authorize the organization to contact me in case of emergency.

I grant permission for my child/ward’s photos/videos taken during activities to be used for promotional purposes (website, flyers, social media).

Message

Parent/Guardian Signature (for under 18s)

Date

Submit