Medical Form

This is the individual Medical Form. If you have already filled out the forms under All Forms For Registration, you do not need to fill this out again. 

Send all forms to

3 ways to fill out form: 

1.) Fill out by hand: Download, print, scan and email

2.) Fill out online: Download this file and go to then go to Edit PDFs Online and upload this PDF, this allows you to easily fill out the forms and send. (This form may be time consuming. You can sign up on for free to save your work). 

3.) Call Discipled Youth Academy and a representative will be happy to speak with you.