Middle School/High School Registrations
Rally Day will be on September 9th at 9:30am
Connect (6th-8th grade) group will meet from 7pm-8pm every Wednesday
LIFE (9th-12th grade) group will meet from 8pm to 9:30pm every Wednesday
Email address *
Youth's Name *
2018-2019 School Grade *
Parent's Name/Guardian *
Email *
Parent/Guardian Phone Number *
Can this number receive text messages? *
Youth's Phone Number *
Do you as parent/guardian allow the youth's number to receive text messages with announcements,prayer requests, and so on? *
Child's Dietary Needs *
Child's Shirt Size *
Never submit passwords through Google Forms.
This form was created inside of Bethany Lutheran College. Report Abuse