Trinity Episcopal Church On Capitol Square, Columbus, Ohio

The Rector greets parishoners following a service

Trinity/St. Mark's Youth Group Registration Form

The Trinity/St. Mark's Youth Group meets every other Sunday beginning September 24th at St. Mark's in Upper Arlington and at Trinity for games, food, and lively discussion. Teens in grades 7-12 are welcome. If you are interested in enrolling your child or children in this program, please complete the following registration form. If you prefer, paper forms are available in the church narthex.

If you would like further information, please see Nick Tepe, or email .

Child’s Name

First Middle Last

Sex
Male
Female

Age Birth Date

Grade in school, if applicable

School Name
School Address , City , State , Zip Code

Parent information

Mother's Name
First Middle Last

Father's Name
First Middle Last

Primary Address
Street Address , City , State , Zip Code

Primary Phone:
Home: area code number
Cell: area code number

Secondary Address (if applicable)
Street Address , City , State , Zip Code

Secondary Phone:
Home: area code number
Cell: area code number

email:

Comments (if applicable)

Person to contact in case of emergency:
Name
First Middle Last
Relationship:

Primary Address
Street Address , City , State , Zip Code

Phone:
Home: area code number
Cell: area code number

Comments (if applicable)

About your child

Hobbies:

Do you play a musical instrument? If so, which kind?

Extra-curricular activities in school:

Extra-curricular activities in the community:

Medical conditions/restrictions, if any:

Dietary restrictions, if any:

Siblings:

First Middle Last , Age

Additional comments: