Please complete one registration for each Youth Counselor. To be filled out with/by parent/guardian.
*Please use Firefox, Chrome or Safari. If you have any technical questions, please contact firstname.lastname@example.org.
For privacy and safety, we will not publish names with photographs/videos. I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for University Carillon use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).
Submitting this on-line form will be the equivalent of signing a paper registration form.
When this form is processed, you will receive a confirmation email. Thank you!