Request Membership in this Organization!
* indicates a required answer.
Parent Name(s) (first & last)
Teen Name (first & last)
2nd Teen Name (first & last)
3rd Teen Name (first & last)
4th Teen Name (first & last)
Provide family email address
The LCHE Teen Group functions under the auspices of LCHE. The LCHE Teen committee, made up of LCHE parent members, will plan the teen activities. The activities will include opportunities for fellowship, education, and service. All those who participate in the LCHE Teen Group must agree not only to abide by the LCHE Bylaws, but also agree to abide by the LCHE Teen Group guidelines. The guidelines are intended to provide parameters that will help activities run smoothly. Several Christian principles were considered: 1) to pursue peace and the building up of one another (Romans 14:19), 2) not to be a stumbling block to others (Romans 14:13), and 3) to respect authority (Romans 13:1).
The following Teen Group member(s) has/have my permission to attend field trips and activities for the 2019-20 school year. If a medica emergency should arise and I cannot be contacted, I hereby give permission to the person in authority to select a physician and/or hospital for my youth's care. Enter first and last name along with the grade level (for the 2019-20 school year) of each teen member below.
Medical Information (List each teens name & condition below)
Special Medications, Allergies, Chronic Illnesses or Other Conditions
In Case of an Emergency Contact (include name and phone number)
Secondary Emergency Contact (include name and phone number)
Submitting this form will serve as your signature in agreement to the following:
We (both parent & teen), have read all the teen guidelines and consent to abide by them.