Welcome to LYM

Student's Name *

First Name

Last Name

Birthdate *

So we can wish you a Happy Birthday!

MM

DD

YYYY

Student Mobile *

So we can send you event updates

(###)

###

####

Parent/Guardian(s) Name(s) *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Mailing Address

So we can send a Birthday Card in the post!

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Media Permissions

As Parent/Guardian of the student mentioned above, I provide LYM permission to:

follow my teen on their existing social media accounts (i.e.: Instagram, Snapchat, etc)

send text notifications to my teen of upcoming events/cancellations

include my teens photo on social media promotions/updates from LYM’s accounts

add my email to the mailing list for LYM info

add my mobile number for text notifications related to LYM events/info