Thrive Youth Registration
We would like to get to know your student and be able to share information about our ministry with you! The information below will be kept confidential and only be seen by LCC leadership.
Student Information
Please complete one form per student
Student: Full Name *
Your answer
Nickname or goes by
Your answer
Student: Phone Number (if applicable)
Your answer
Student: Home Address *
Your answer
DOB *
Your answer
Grade? *
What school do they attend?
Your answer
Is your student on social media? *
Required
Has your student been baptized?
Does your student have food allergies? *
Your answer
Does your student have any specials needs you would like us to be aware of? *
Your answer
Do you consent for your student to purchase energy drinks from our snack-bar? *
Required
Parent / Guardian Information
Please provide your contact information below
Parent / Guardian #1 *
Your answer
Phone # *
Your answer
Email *
Your answer
Parent / Guardian #2
Your answer
Phone
Your answer
Email
Your answer
Anything our leaders can pray for?
Your answer
Submit
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