High School Youth Ministry Registration 2020-21

To register for High School Youth Ministry, please fill out the registration form below. To register for Confirmation, please go to the Confirmation Page here.

 

Program Selection
Which program would you like to register for?
General Contact/Teen Information
Teen's Name
  •  
Teen's E-mail
Parent 1 E-mail
Parent 2 E-mail
Teen's Cell Phone --
Parent 1 Phone --
Parent 2 Phone --
Home Address
Additional Teen Information
Gender
Birthday //
  •  
Grade
School
Parent/Guardian 1 Information
*Information regarding occupation, religion, or marital status is optional to provide, and is asked for so that we can better minister to your child with sensitivity and awareness. These categories in no way affect you or your child being welcome in our program. :-)
Parental Relationship
Name
  •  
Additional Phone --
Occupation
Religion
Marital Status
Parent/Guardian 2 Information
*Information regarding occupation, religion, or marital status is optional to provide, and is asked for so that we can better minister to your child with sensitivity and awareness. These categories in no way affect you or your child being welcome in our program. :-)
Parental Relationship
Name
  •  
Additional Phone --
Occupation
Religion
Marital Status
Registration Fees and Payment
Youth Ministry Fees  
Selection Extended

Youth Ministry only | $90.00

  •  

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

  •  

 
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