STUDENT MINISTRIES REGISTRATION

"*" indicates required fields

Name*

First Last

Cell Phone*

Email*

Birthday*

What School Do You Currently Attend?*

Student Ministries is comprised of Middle School and High School groups. Middle School includes 5th thru 8th grade, so Elementary Schools are included on this list.

Address*

We send out calendars for events, special invites to group activities and cards from time to time. We do not share your information.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please list any food allergies or dietary restrictions. Type "none", if you have none.*

Family Members*

Mom & dad, brothers & sisters?

Comments, Questions or Needs?

Got questions about Student Ministries, what we do, or a specific event? Drop us a note and we'll get back to you.