First Students: Mid-Week Registration

Winter 2023 Registration

5th - 8th Grade | One Form Per Student
FIRST STUDENTS: MID-WEEK
Starting Wednesday, January 11 | 6:00 – 7:15pm
Tweens and Mid-High are invited to join us in the Youth Building for fellowship, games, learning, and worship.
New Student Info

Let us know if you're joining us!
Name*

First Name Last Name
Age *
Completed Grade*
Allergies or Special Needs
List Siblings at Kid Connect, Play & Pray, Choir, or Nursery
Name & Age
Parent/Guardian Info
Name*

First Name Last Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact*

First Name Last Name
Phone Number*
Please enter a valid phone number.
Persons Permitted to Pick Up Student
Should be Empty:

Winter 2023 Registration