RISE YOUTH DIRECTORY
Please complete the form below to update our CUMC Youth Group Directory.  With this information, we can stay connected and update you on any upcoming events or important information.  
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FIRST NAME
 *
LAST Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
Home Address *
Street, Apt #, City, State, Zip Code
Email Address *
Cell Phone *
If you don't have a cell phone, please write N/A for your answer
School Attending (2024-2025) *
Grade *
Parent / Guardian Name *
Relationship *
Parent / Guardian Phone Number *
Parent / Guardian Email *
If you don't know, please write N/A for your answer
Emergency Contact Number *
Anyone other than previous answer (ex. other parent/guardian, grandparent, relative, etc)
Known Allergies or other Health Concerns *
My parent/guardian attends CUMC *
Is this your first time attending our Church? *
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