First Lutheran's Youth Group meets on Wednesdays at 6:00pm, or as soon as you get here after sports from September through April.
Grab a plate of supper from the kitchen as you make your way to the youth room and hang out with friends as we grow closer with God.

Youth Group
2026/2027

Youth Information

Youth's Full Legal Name

Gender

Date of Birth

Youth's Phone Number

Youth's Email

Primary Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Any food, environmental, or medical allergies?

Please list all allergies, reaction to monitor for, and action plan we should take if reaction is observed.

Are there any medical conditions we should be aware of?

Please list any medical concerns we should be aware of, how it may affect them, and how we may be able to accommodate.

Sharing God's Love

What kind of service projects / volunteer opportunities would you like to be involved with within our church and community during youth group this year?

Parent/Guardian Information

How many parents/adults are involved with the youth's life?

Adult 1 Full Name

Adult 1 Phone Number

Adult 1 Email

Adult 1 Home Address

Adult 2 Full Name

Phone Number for Adult 2

Email for Adult 2

Home Address for Adult 2 (if different than above)

Adult 3 Full Name

Phone Number for Adult 3

Email for Adult 3

Home Address for Adult 3

Adult 4 Full Name

Phone Number for Adult 4

Email for Adult 4

Home Address for Adult 4

Emergency Contacts

In the rare case we would not be able to reach the parents/guardians listed above, please include at least one trusted adult we can contact regarding your youth.

Name

Phone Number

Relationship to Youth

Permissions

I give permission for photographs or videos of my child to be taken while at First Lutheran events, to be used now or in the future for the purpose of internal and external communications, including advertising and marketing as well as posted on Social Medical account(s) including Facebook, Instagram, and the website. I understand I can withdraw this consent at any time by advising the First Lutheran office in writing.

Yes, I agree

No, do not use my child’s image

In the event of a medical emergency, I hereby give permission for First Lutheran Church to secure proper and necessary treatment / medical attention for my child(red) as named on this form.

Yes, I agree

No, do not seek emergency medical treatment without my consent.

Signature

Date

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First Lutheran's Youth Group meets on Wednesdays at 6:00pm, or as soon as you get here after sports from September through April.
Grab a plate of supper from the kitchen as you make your way to the youth room and hang out with friends as we grow closer with God.

Youth Group
2026/2027

Youth Information

Sharing God's Love

How would you, the highschooler, like to be involved with FLC?

God is doing amazing things at First Lutheran and we want you to be part of it!

Parent/Guardian Information

God's amazing work doesn't end with the kids. Parents can help make a difference, too!

Emergency Contacts

Permissions

About

What We Believe

Our Story

Leadership

Sunday Mornings

Contact Info

Prayer

Follow Us

Implementation by ReedVerde

First Lutheran's Youth Group meets on Wednesdays at 6:00pm, or as soon as you get here after sports from September through April. Grab a plate of supper from the kitchen as you make your way to the youth room and hang out with friends as we grow closer with God.

Youth Group2026/2027

Youth Information

Sharing God's Love

How would you, the highschooler, like to be involved with FLC?

God is doing amazing things at First Lutheran and we want you to be part of it!

Parent/Guardian Information

God's amazing work doesn't end with the kids. Parents can help make a difference, too!

Emergency Contacts

Permissions

About

What We Believe

Our Story

Leadership

Sunday Mornings

Contact Info

Prayer

Follow Us

First Lutheran's Youth Group meets on Wednesdays at 6:00pm, or as soon as you get here after sports from September through April.
Grab a plate of supper from the kitchen as you make your way to the youth room and hang out with friends as we grow closer with God.

Youth Group
2026/2027