Glad your teenager can join us! NewGen Youth is a Family. We are excited to have your teen with us and can't wait to see where God takes him in our ministry. Child Name* First Last Birth Date* Date Format: MM slash DD slash YYYY Grade*Gender*MaleFemaleParent/Guardian Name* First Last Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Relationship to Child*Emergency Name* First Last Emergency Phone*Can we send reminders about upcoming Youth Events?*YesNoEvery once in awhile we need Parental Help in order to conduct certain youth events: Can we contact you when we need help?*YesNoChild Allergies / Disabilities: (If none, list NA)*Special Requests: (If none, list NA)*Consent* I agree to the: Medical and Liability ReleaseThe novel coronavirus, COVID-19, has been declared a worldwide pandemic by the Centers for Disease Control. COVID-19 is extremely contagious and as a result, social distancing is recommended. New Generation Youth will follow state and local standards of conduct and has put in place reasonable preventative measures to reduce the spread of COVID-19 at its Youth Functions. However, even though such standards will be followed and reasonable measures put into place, New Generation Youth cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending New Generation Youth Functions could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and that my child(ren) and I may be exposed to or infected by COVID-19 by participating in New Generation Youth functions and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at New Generation Youth may result from the actions, omissions, or negligence of myself and others, including, but not limited to, New Generation Youth employees, volunteers, and program participants and their families. Considering the foregoing, however, I grant permission for my child to participate in youth functions notwithstanding the risks associated with the COVID-19 virus and group activities. I further agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to release, indemnify, hold harmless, and defend New Generation Youth and The Freedom Center Church, their members, directors, officers, employees, agents and their representatives (“indemnitees”) associated with the youth functions arising from or in connection with the negligent acts or omissions of the indemnitees’ in relation to the prevention of the spread of the COVID-19 virus. Signature* ONLINE Registration is Finished Walk-Ins are Accepted.