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 America's Keswick (601 Route 530, Whiting) for "Beyond Youth Night," in which students must find their own transportation. (BEYOND YOUTH IS CANCELLED FOR THE MONTH OF MAY 2025)

Proving Ground Church
1 Proving Ground Rd
Lakehurst, NJ 08733

Students MUST be 11-16 years of age to attend any and all meetups!

Students and parents are all encouraged to send a text to 81010 with the message @PGCYOUTHS to stay in the loop with what is going on with PGC Grounded Youth.

Please fill in your Child's information in the form below. (One form per child)

Name

Birthday

Current Grade

Parent's Names

Parent's Email

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.

Allergies and Medical Conditions: 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 this section to be very specific.

Youth Nights end at 8:00pm (Please select one).

My child has my permission to walk home or go home with a friend when I am not present at pickup time. My child will be picked up by myself or other specified adult

Students and parents are all encouraged to send a text to 81010 with the message @PGCYOUTHS to stay in the loop with what is going on with PGC Grounded Youth.

Description

Please complete one form for each of your children that will be participating in Youth Group.

PGC Grounded Youth Group

Description

Please Fix the Following