Trinity Episcopal Cathedral

Youth Name *

First Name

Last Name

Youth Date of Birth *

MM

DD

YYYY

Youth Phone Number (Optional)

If provided, this phone number will only be used to send reminders and information to the above youth regarding 2022 Youth Events.

(###)

###

####

Parent/Guardian Phone *

(###)

###

####

Emergency Contact Phone *

(###)

###

####

Consent Form *

Click the link at the top of the page to read our Parent-Guardian Consent Form Information

I have read and agreed to the terms listed for Permission, Waiver, and Release

I have read and agreed to the terms listed for Medical Consent

I have read and agreed to the terms listed for Media Release

I have read and agreed to the terms listed for Driving Release