* Required

Attending this week*

Please let us know if your child will attend on Saturday!

Yes No

Student First/Preferred Nicknamerequired

Last Namerequired

Contact Phone for a parent/emergency contactrequired

Choose one or more

I'm a parent. Add me to the Youth Ministry mailing list I've already sent my info for the list Add my child's email to the mailing list

Note: Student email address is optional. A family should decide if their child should receive notices and reminders directly. Messages will always come from the group email which is monitored by multiple adults.

Parent Contact First Name

Last Name

Parent Email Address

Student Email Address

Child's School

Class Year

current Grade 8 current Grade 7 current Grade 6 current Grade 5

Note:

Please let us know if there are allergies, medical or physical needs, or other considerations we should be aware of while your child is with us.

Thank you!