EPIC Registration (Grades 9-12)
Living Water’s High School Ministry happens September through May on Wednesday nights from 5:30-7. We will have a new format this year with new directors: Christine Ebner and Michelle Wilson. All HS students will be put into small groups that will meet two times per month. Small groups will be based on age and gender. Our HS format will be as follows
1st Wednesday of each month - Small Group meeting at leaders chosen spot
2nd Wednesday of each month - Whole group meeting at church with supper.
3rd Wednesday of each month - Small Group meeting at leaders chosen spot
4th Wednesday of each month - Whole Group Service project/Fun activity
If there is a 5th Wednesday - no EPIC
First Child's Name *
Your answer
First Child's Age and Grade Level *
Your answer
First Child's Cell Phone Number (if applicable) *
Your answer
Second Child's Name
Your answer
Second Child's Age and Grade Level
Your answer
Second Child's Cell Phone Number (if applicable)
Your answer
Third Child's Name
Your answer
Third Child's Age and Grade Level
Your answer
Third Child's Cell Phone Number (if applicable)
Your answer
Parent(s) Names *
Your answer
Parent(s) Address *
Your answer
Parent(s) Cell Phone Number *
Your answer
Parent(s) Email Address *
Your answer
Disclaimer: I, the parent and/or guardian to the above children, give permission for my child to attend and participate in activities sponsored by Living Water. I, authorize an adult, in whose care the minor has been entrusted, to consent to any emergency medical care if I cannot be reached. The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical services. The undersigned does also give permission for my child to be a passenger in any vehicle that has adequate insurance. *
MEDIA RELEASE: By submitting this form, you give permission for the children listed below to be photographed and/or video/audio taped at Living Water Church or at events sponsored and/or approved by Living water. I understand that these photos or video/audio tapes may be used for instruction purposes, presentations, general uses for the children, and other things throughout the church. These photos may also be displayed on bulletin boards at Living water, the Living Water website, the Living Water Facebook pages, sent into the local media, or used in brochures promoting the church, youth and/or children programs, and/or mission projects. *
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