Parent Enrollment — All Nations NextGen Academy
Complete this once per child (ages 11–17) to authorize enrollment contact and NextGen follow-up.
Complete this once per child (ages 11–17) to authorize enrollment contact and NextGen follow-up. Classes meet twice monthly on Fridays for approximately one to one and a half hours, and the team will confirm specific class dates and placement.
Child's Full Name
*
First Name
Last Name
Child's Home Street Address
*
Child's City
*
Child's State
*
Child's ZIP Code
*
Child's Age
*
Child's Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Grade (optional)
Primary Parent/Legal Guardian Full Name
*
First Name
Last Name
Primary Parent/Legal Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Parent/Legal Guardian Email Address
*
example@example.com
Second Parent/Guardian Full Name (optional)
First Name
Last Name
Second Parent/Guardian Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Second Parent/Guardian Email Address (optional)
example@example.com
Questions or information for the NextGen team (optional)
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Emergency Contact Telephone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies?
*
No known allergies
Yes
Not sure
Allergy Details (optional)
Relevant health conditions, accessibility, or support needs (optional)
Classes meet twice monthly on Fridays for approximately one to one and a half hours. The team will confirm specific class dates and placement.
Your family’s information will be treated as confidential and used for NextGen Academy enrollment, communication, and participant care. Access is limited to authorized church personnel who need it for those purposes. We do not sell your information, share it for marketing, or publish it. Health and allergy information will be used to help support your child’s participation. For questions or corrections, call the church office at 772-343-7021.
Please complete the captcha to verify you are not a robot.
*
I am the child's parent/legal guardian and authorize contact about enrollment.
*
I am the child's parent/legal guardian and authorize contact about enrollment.
Submit Enrollment
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