CONNECT FORM

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
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!
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? *
ARE YOU INTERESTED IN JOINING A DISCIPLESHIP GROUP? *

YES! Not at this time.
Should be Empty: