CFC-YOUTH FOR CHRIST

INFORMATION SHEET
Sector/Cluster /Chapter /Area : ___________________________________
Youth Camp Date : ___________________________________
I. General Information
Name: _______________________________________ Nickname:___________
(Surname)
(Given name)
(m.i)
Address: ______________________________________________________________________
_____________________________________________________________________________
Home no.: ___________ Mobile no.: _____________ Email: ___________ Birthday :_________
School/Grade or Year level/Course: _________________________________________________
Special Skills (ex. Playing musical instruments, dancing, singing, etc.): _____________________
_____________________________________________________________________________
Other Seminars / Retreats Attended: (extracurricular, religious, etc.)
______________________________________________________________________________
______________________________________________________________________________
II. Membership in School and Parish Organizations:
ORGANIZATION POSITION / Nature of Service
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
III. Indicate illness that will require special attention:
_________________________________________________________________
_________________________________________________________________
IV. Parental Information
Name of Father : _____________________ Occupation:________________
Name of Mother: ________________________ Occupation: ________________
Organizations of parents: (If members of Couples for Christ indicate Area / Chapter).
Father:_________________________________________________________
Mother:________________________________________________________
Persons to notify in case of emergency
Name
Relationship Phone
_____________________________________________________________________________