Taylorville Christian High School Students
This form must be completed for any high school student (grades 9-12) that wishes to attend our High School Sunday Night programming during the 2017-2018 school year.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Gender *
Grade in School *
School *
Student's Birthdate (MM/DD/YY) *
Your answer
Home Address *
Your answer
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Parent's Cell Phone Number *
Your answer
Parent's Email *
Your answer
Is there any other important information we should know? (medical information, food allergies, special needs, etc.)
Your answer
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