ZYouth Registration Fall 2018
ZYouth is back! Kick off is September 12! Doors open at 5:30 pm, Middle School/Confirmation at 6:00 pm, and High School is at 7:00 pm. No midweek meal the first week. We can't wait to see you!

Rally Day (ZYouth Sign-up) is September 9th after the second service.This is the form for early sign-up and registration. Please fill out the information below to the best of your ability! If you have multiple children, please add them all to the same form. If you complete this form you do not need to attend Rally Day and you will be added to the youth email distribution. For questions, please contact Derek Crawford at derekc@zionclearlake.org.

Email address *
Guardians: First and Last Name *
Your answer
Guardians: Email *
Your answer
Guardians: Cell
Your answer
Other Emergency Contact and Number *
Your answer
Student's First and Last Name *
Your answer
Student's Grade (This year) Mark all that apply *
If your student is in middle school, please note if they will be participating in Confirmation or just doing the middle school programming.
Please note any allergies or medical needs.
Your answer
Please share any other concerns (i.e. prayer requests, family concerns, bullying, or any other things to watch).
Your answer
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