Youth Revival January 2024 Group Registration Please enable JavaScript in your browser to complete this form.Youth Group Name *Number Expected *File Upload Click or drag a file to this area to upload. Please upload a list with the first name, last name and grade of each of the youth you anticipate attending if possible. Download a template at https://www.oldunion.org/wp-content/uploads/2023/08/Youth-Revival-Group-Roster-Template.docxYouth Group Leader *FirstLastAddress *(Street address, city, state, zip code)Mailing Address (if different)(Street address, city, state, zip code)Home PhoneWork PhoneCell PhoneEmail AddressMay we have your permission to photograph members of your group? *YesNoMay we have permission to use photographs for the purpose of promotion? *YesNoSubmit