Messiah Youth Information Update 2020
Welcome to the family of Messiah Youth. Please share your contact information. This will help me keep you informed during the Middle and High School years. Please email a photo of your student to marty.hein@messiah.us My cell number is 402-525-3774 call or text if you ever need anything or have a question.
Student's Name *
Student's birthday *
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Student's Phone Number (N/A if there is no phone) *
Student's Email *
Student's School *
Student's Grade in School *
Father's Name *
Father's Phone *
Father's Email *
Mother's Name *
Mother's Phone *
Mother's Email *
Family Mailing Address (House number, street, city, state, zip code *
I am interested in helping with Messiah Youth please contact me. *
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