The Meeting Place Church - The City Youth Connect Night & Events

The City Youth
Connect Night & Event Registration

Which Connect Night, or Event are you registering for?

Youth First Name

Youth Last Name

Youth Grade

Youth Email (If available and not previously provided.)

Youth Dietary Restrictions (If not previously provided)

Parent & Guardian Information

Please fill out this section --- if information has not been provided previously, or there have been changes.

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Email Address

Parent or Guardian Phone Number

For the purpose of sharing the awesome stuff that happens at The City and encouraging others to participate, we would love to share more photos and video of The City Youth with you and our community through social media posts and parent emails! Would you consent to The City Youth sharing photos and video where your youth may be seen?
Yes.
No.

The City Youth
Connect Night & Event Registration

Parent & Guardian Information

sERVICES: SUNDAYS @ 10AM AT AVALON CINEMAS (WOODGROVE MALL)

EMAIL: ADMIN@THEMEETINGPLACE.ORG PHONE: (250) 244-6433

MAILING ADDRESS: 101 - 5170 DUNSTER RD., SUITE 515, NANAIMO, BC V9T 6M4

The City YouthConnect Night & Event Registration

Parent & Guardian Information

The City Youth
Connect Night & Event Registration