CONNECT FORM
We are so glad you are with us tonight at YTH! Please fill out the information below so we can connect with you!
STUDENT NAME:
*
First Name
Last Name
STUDENT GENDER:
*
MALE
FEMALE
STUDENT AGE:
*
STUDENT GRADE:
*
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
WHAT SCHOOL DO YOU GO TO?
*
WHAT CHURCH IS YOUR HOME CHURCH?
*
HOW DID YOU HEAR ABOUT US?
*
Other:
BEST CONTACT EMAIL: (Parent/Guardian or Student)
*
By putting your email, we will add you to our weekly YTH Eblasts to ensure you get timely information!
THE CONTACT EMAIL IS:
*
the parent's email
the student's email
the guardian's email
Other
SUBMIT
Should be Empty: