Youth Group Registration

Child First Name *

Child Last Name *

Child Preferred Name

Gender

School Grade *

Demographics

Adults

Youth

Children

Creche (0-3 yrs). Not available at all services.

Ignite (Preschool). Groups can be combined at some services due to numbers)

Blast Off (K-Yr 2). Groups can be combined at some services due to numbers)

Boost (Yr 3-Yr 6). Groups can be combined at some services due to numbers)

Dynamite (Yr 6-Yr 9). Not available at all services.

Tip: Please select "Youth" if registering for GAC Youth Group

Medical Conditions

Allergies

Emergency Contact Name *

Emergency Contact Mobile Number *

Tip: Number to be contacted in case of emergency

Emergency Contact Relationship

Email Address

Tip: Email address to be used for Youth Group related communication

Date of Photo Permission

Tip: If you give permission for photos of your child to be used for internal GAC purposes, please complete this field.