Registration Name * First Name Last Name Email * Phone * (###) ### #### School Attending * Grade * Parent/Guardian Name and phone number * I have my parent(s)/guardian permission to attend the youth group (for those under 18) * Yes No Thank you for signing up for the Youth Support Group. We will be in contact with you soon about the next meeting. If you have any questions, call/text Tammy at 860-271-1835.
