Jr High Youth Ministry - Registration 2020-21

(Grades 7-8)

To register for Jr High YM, please fill out the registration form below. 

 

General Contact/Teen Information
Teen's Name
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Teen's E-mail
Parent 1 E-mail
Parent 2 E-mail
Teen's Cell Phone --
Parent 1 Phone --
Parent 2 Phone --
Address
Additional Teen Information
Birthday //
  •  
Gender
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
Jr High Youth Ministry Registration Fees  
Selection Extended

Jr High Youth Ministry | $90.00

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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