Middle_High School Student Form

Sunday Morning Middle/High School Student Enrollment

To save time and let us know your student will be joining us, please fill out this form.

You must provide the name and contact information for at least one parent or legal guardian. When providing your mobile phone number, please provide a number we can use to reach you in case of emergency during your visit.
Parent 1 Name *
Parent 2 Name
Address *
City, State, Zip *
Parent 1 Mobile Number *
Parent 2 Mobile Number
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Parent 1 E-mail *
example@example.com
Parent 2 E-mail
example@example.com
Which Sunday can we expect you? *
mm/dd/yyyy
Will you student attend 9:30 AM Service with us?

9:30AM Service Type option 2
How did you hear about us?
Person filling out this form?

Parent Student Grandparent Legal Guardian
We are:

Visiting for the day. Looking for a home church. We already have a home church.
Student Information
For each student, (grade 6th-12th) provide the full name, date of birth, age, grade and any allergies or special instructions.
Student 1 Name
Email
example@example.com
Phone Number
Address, if different from above.
Street Address
City, State, Zip
Age
Date of Birth

Month Day Year
Date
Gender?

Male Female
School Attending:
Class Grouping
Which option represents this student?
Student 2 Name
Email
example@example.com
Phone Number
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Address, if different from above.
Street Address
City, State, Zip
Age
Date of Birth

Month Day Year
Date
Gender?

Male Female
School attending?
Class Grouping
Which option represents this student?
Student 3 Name
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Email
example@example.com
Phone Number
Address, if different from above.
Street Address
City,State,Zip
Age
Date of Birth

Month Day Year
Date
Date of Birth

Month Day Year
Date
Gender?

Male Female
School attending?
Class Grouping
Which option represents this student?
Student 4 Name
Email
example@example.com
Phone Number
Address, if different from above
Street Address
City,State,Zip
Age
Date of Birth

Month Day Year
Date
Gender?

Male Female
School attending?
Class Grouping
Which option represents this Student?
Should be Empty:

Student Information