5th-8th Grade Starting Point

1

Which Starting Point 5678 do you plan to attend?* This field is required.

Tuesday, April 13, 7-8pm, in the Student Ministries Center

We are interested in participating in a virtual Starting Point, using Zoom.

We would like to know about the "on demand" version of Starting Point when it is available.

Tuesday, May 11, 7-8pm, in the Student Ministries Center

2

Child's Name* This field is required.

First Name

Last Name

3

Child's Grade in School* This field is required.

fifth

sixth

seventh

eighth

4

Who will be attending Starting Point with the child?* This field is required.At least one parent/guardian is required to attend. Both parents/guardians are invited to attend.

Mother

Father

Both

5

Mother's Name* This field is required.

First Name

Last Name

6

Father's Name* This field is required.

First Name

Last Name

7

Relative/Guardian's Name* This field is required.

First Name

Last Name

8

Parent/Guardian Email Address* This field is required.

example@example.com

Confirm Email

9

Parent/Guardian Cell Phone Number* This field is required.In case we need to contact you with any last-minute changes.

10

Do you or your preteen/young teen have any questions for us that you'd like to have answered or at least addressed at Starting Point?