JOY/GOYA REGISTRATION -

JOY/GOYA REGISTRATION

2019-2020 Registration Form

You must register each child separately. Forms submitted without payment will not be processed.

Fill out all information below and SUBMIT your form.

* Indicates required field

Child's First and Last Name *

First

Last

Choose the items you are registering for: *

HOPE/JOY (Born 2007-2012) --> $75 ( This fee is for events only. The biddy league sports program is included in this fee. You must register for HOPE/JOY in order to participate in Biddy League.) GOYA (Born 2002-2006) --> $75

Parent/Guardian First and Last Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Date of Birth (mm/dd/yy) *

Child's Email *

Child's Mobile Number *

Home Phone Number *

Mobile Phone Number *

Email *

Additional Parent/Guardian First and Last Name *

First

Last

Emergency Contact Name *

Relationship to Child *

Mobile Phone Number *

Emergency Number *

PLEASE READ THE FOLLOWING INFORMATION BEFORE SUBMITTING YOUR REGISTRATION FORM

By submitting this registration form:

I give consent for my child to participate in all the activities of St. Demetrios Youth of Astoria program.
I authorize the Clergy and Advisers to seek medical assistance if ever needed.
I understand that at events will be PHOTOGRAPHED and PUBLISHED on this website, the church website, other forms of social media (such as Facebook and Instagram) and other church publications and I consent to allowing these images to be used by the organization. (If you DO NOT CONSENT to this item, please check the box below. Otherwise, leave it blank.)

Check ONLY IF you DO NOT CONSENT to photos. *

I DO NOT CONSENT to photos of my child being taken and used as mentioned above.

Please type your name below: *

Submit the form

(You will be redirected to another page to select your items and pay. Registration is not complete until payment is received.)