Pre- Registration Form

Must be Filled out by a Parent/Guardian

Youth Pre Registration Form

Parents/Guardians Please complete this quick registration form for each Student that is attending Youth Ministry, before arriving at the Church.

We need this information incase we later need to contact you if we find out anyone has been in contact with an active Covid-19 Case. Please do not come if you are sick or have been in contact with someone with a positive case of Covid-19.

Youths First Name

Last Name

Parent/Guardian Full Name

Emergency Contact Number

Youths Home Address

I understand that all precautions will be in place to ensure the health and safety of the above named Youth but do not hold Lakeview Gospel Centre, it's volunteers or staff legally liable in the case that an unforseen accident could happen.

Just click the 'Submit' button once

You're Done! Parents please contact Ernie if you have any Questions.

Masks will be provided - or bring your own.