2017-18 STUDENT ACTIVITIES & CHOIRS REGISTRATION
Your one-stop registration form for Youth Group and Youth Choir activities. Please fill in as much information for each 7th-12th grader as you can. Medical Release and Media Release forms are also required. Please call David Garvin at 459-1595 or Karla Temple 744-7578 for questions.
First Name *
Your answer
Last Name *
Your answer
Parents'/Guardians' Names *
First and Last Names
Your answer
Street Address *
Your answer
City, State Zip *
(please format like Louisville, KY 40205)
Your answer
Preferred Phone Contact (ie, Home) *
Where we can call for Info
Your answer
Mobile Phone(s) - Parent
(Please include names)
Your answer
Mobile Phone(s) - Parent - May we text you?
Parent Email 1
Your answer
Parent Email 2
Your answer
Mobile Phone - Student
Your answer
Mobile Phone - Student - May we text you?
Student Email
Your answer
Student's Birthday
Your answer
School Grade *
Your answer
School Name *
Your answer
Student's interests/hobbies
Your answer
Student T-Shirt and Polo Shirt Size
Which Sunday Morning Service does family or student normally attend?
Instruments Played
Your answer
Do you sing in your School's Choir, or other Choir?
Please explain
Your answer
Parents: Would you like to volunteer to assist Choir or Youth Grop this year?
Please check as many as you like
(If yes to above, please give name of parent)
Your answer
Submit
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