Youth Group Registration 2025-26

We have exciting news for this school year! We are partnering with two other churches in the area for a combined Youth Group experience: Grace Lutheran Church in Libertyville & St. Andrews Lutheran Church in Mundelein.

Youth Group will take place on Sundays (once a month + special events) from 6:00-7:30 pm at Grace Lutheran Church, 501 Valley Park Dr, Libertyville, IL 60048.

There is a Parent Meeting on Sunday, September 7, from 6:00-7:00 pm at Grace Lutheran Church to meet other parents and learn about the combined program.

The Youth Group launch is on Sunday, October 5 from 6:00-7:30 pm. at Grace Lutheran Church. We can't wait to see you there!

Please contact christianed@stjameslutheranchurch.org with any questions. Thank you!

Student Name*

First NameLast Name

Student's age*

Grade in school*

High School Attending*

Do we have permission to include students on email or text messages to help coordinate activities. (No student will ever be contacted directly. Primary Contacts will always be included.)*

YesNo

Student Email

example@example.com (Primary Contacts will always be included in email communications)

Student Cell Phone

Please enter a valid phone number. (Primary Contacts will always be included in text communications)

Any allergies we should be aware of (food or otherwise)?

Any health concerns or learning differences we should be aware of?*

Any other information about your student you would like to share?

Please note any potential conflicts your student has with Youth Group attendance.

Primary Contact Name*

First NameLast Name

Primary Contact's Email*

example@example.com

Primary Contact's Cell Phone *

Please enter a valid phone number.

Does the Primary Contact opt in for text messages?*

YesNo

Is the Primary Contact a Legal Guardian of this student?

YesNo

Do you give permission for the use photo or video use on the church website, social media or in print? No children will be identified by name.*

YesNoInternal Use OnlyWith Primary Contact Permission

Secondary Contact Name*

First NameLast Name

Secondary Contact's Email*

example@example.com

Secondary Contact's Cell Phone *

Please enter a valid phone number.

Is the Secondary Contact a Legal Guardian of this student?

YesNo