IGNITE HIGH - REGISTRATION

Collection of Your Information

Emmanuel Community collects information about our members, participants at our events, and various other people or groups who are interested in connecting with our community and ministries.  We collect this information for the purpose of contacting you about upcoming events and initiatives, keeping you informed about developments within the Community or our ministries, providing products or services you have requested, and managing the Community and/or events in which you are participating.

Dear Parents and Guardians,

We look forward to welcoming your child to Ignite High! Whether they have already come along once or twice before, or are interested in joining, we would ask you to please fill out the following details so that we can stay in close communication with yourselves and take the best care for them while they are with us.

Questions? Email one of our Group Leaders Odyn McGinniss odyn@igniteyouth.com or our High School Coordinator Kym Keady kym@igniteyouth.com

Teenagers Name *
Teenagers Name
Date of Birth *
Date of Birth
Teenagers Phone Number
Teenagers Phone Number
Teenagers Residential Address *
Teenagers Residential Address
Parent/Guardian 1 Name *
Parent/Guardian 1 Name
Parent/Guardian 1 - Mobile Phone *
Parent/Guardian 1 - Mobile Phone
Parent/Guardian 1 - Secondary Phone *
Parent/Guardian 1 - Secondary Phone
Parent/Guardian 1 Address *
Parent/Guardian 1 Address
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Parent/Guardian 2 - Mobile Phone
Parent/Guardian 2 - Mobile Phone
Parent/Guardian 2 - Secondary Phone
Parent/Guardian 2 - Secondary Phone
Parent/Guardian 2 Address
Parent/Guardian 2 Address
Latest custody entry
Doctors Name
Doctors Name
Doctors Phone
Doctors Phone
Medical Treatment Consent *
General Activities
Photo Release Permission *
Transportation *
It is the parents/guardian's responsibility to transport their child to and from an Ignite Youth event.
Emergency Contact - Name *
Emergency Contact - Name
Emergency Contact - Phone 1 *
Emergency Contact - Phone 1
Emergency Phone 2
Emergency Phone 2
Feel free to share anything else about yourself or your teenager if you think it would be good for us to know

Use of Your Information

Emmanuel Community is committed to handling your information with sensitivity and respecting your confidentiality.  In some cases, we may need to disclose information about you, including sensitive information such as health considerations, to third parties such as catering, transport and health care providers, in order to enable us to manage the Community and/or events in which you are participating. We will not use your information for any other reason without your permission, except where required by law.

Read our full PRIVACY POLICY