Youth Registration

Enter registration information here for one Youth per submission. If you have multiple Youth in your household, please submit multiple registrations so we have a unique entry for every Youth.

Youth Name

First Name

Last Name

Primary Contact Email

Primary contact email for the Youth participant (either a Parent/Guardian's email or the Youth's email, whichever will be best for communicating important event details and updates).

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

This will be used to obtain the Parent/Guardian's eSignature on the Permission & Medical Release Forms.

Youth Email

This will be used to obtain the Youth participant's eSignature on the Permission & Medical Release Forms. If the Youth does not have their own email, provide the Parent/Guardian email here again. If the Youth does have their own email and it was already provided above, please repeat it here.

Primary Contact Phone

Primary contact number for the Youth participant (either a Parent/Guardian's phone number or the Youth's phone number, whichever will be best for communicating important event details and updates).

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Ward

Special Dietary Needs

Special Dietary Comments

Emergency Contact (Parent/Guardian)

Emergency Contact Name

Relationship to participant

Parent, Grandparent, Guardian, etc.

Emergency Contact Email

Emergency Contact Phone

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Youth Registration

2025 Cedar Hills Stake Youth Conference