1450 Green Trails Dr. Naperville, IL 60504 - 630-448-0777
YouthWithHeart
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Peer
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Peer kick-off event
Teen Center/Courtyard
August 21, 2023
7pm-9pm
Parents
must
fill out the information below. Parents
do not
write your email or cell phone into the youth email and cell phone spaces. This information will only be used in our office and will not be shared with volunteers or other families.
*
Indicates required field
Youth Name
*
First
Last
Attending?
*
Yes
Maybe
Youth Email
*
Grade
*
11th
12th
Youth Phone Number
*
Dietary Needs (Allergies, Vegetarian, etc.):
*
Parent Email
*
Parent Phone Number
*
Please note: By providing the email address and cell phone number of a minor, the parent or guardian grants permission for electronic communication from the Youth Ministry Office and the group leader to this young person in regards to all group related activities. Parents will be copied on all communications.
Submit
Click Here to Apply to Peer!