PGC Grounded Youth Group

Please complete all areas of this registration form.

Youth Group meets every Thursday from 6:00-8:00 at PGC with the exception of the third Thursday of the month where we head to Keswick for Beyond Youth Night.
Students must find their own transportation and supply required costs.

Proving Ground Church
1 Proving Ground Rd
Lakehurst, NJ 08733

Students MUST be 13-17 years of age to attend any and all meetups!

Name

Birthday

Age

Current Grade

Allergies/ medical conditions. Please be specific

Names of siblings attending

Parent's Names

This address will receive a confirmation email

Address

Phone

In the case of an emergency, contact: (please include name, phone number, relationship to child, in order of importance, parents will be contacted first)

Please provide the name/relationship to child of individual(s) permitted to pick up from Youth Group(Unless otherwise noted we will assume all parents listed are permitted to pickup):

By signing this form I grant permission for Proving Ground Church to take photos/video of my child(ren) during church events and to use these images in church publications, website and social media. I understand that photos and videos will NEVER be accompanied by captions or tags that include names or any other identifying information.

Youth Group Liability release By signing you agree to the following statement. I give permission for my child to participate in Youth Group at Proving Ground Church of Lakehurst, NJ. As parent/legal guardian of said minor, I accept full responsibility for any medical costs incurred in the event of an accident or other emergency.* After reasonable efforts have been made to contact me or my spouse I grant the volunteers of PGC permission to make any and all necessary medical decisions for my child until I arrive

Please note that snacks and food will occasionally be served or crafted with. By signing you are permitting your child to participate. If you need further label descriptions please contact Crystal at Crystal@provinggroundchurch.com. If your child has allergies or medical concerns of any sort, please use the section above to be very specific.

Description

Please complete one form for each of your children that will be participating in VBS 2025.
We are looking forward to an epic event!

PGC Grounded Youth Group

Description

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