SJLC Youth & Young Adult Ministry Contact Information Update
Merry Christmas and Season's Greetings!

In a sincere effort to better serve you and your needs as a Youth or Young Adult in 2021 and beyond, the St. John's Youth & Young Adult Board strongly desires to update your information in our ministry database.

This form will only take a few minutes of your time to fully complete.

Please rest assured the data you provide will remain strictly confidential and for internal Board and Church use only. If you have any questions or concerns, please feel free to contact Craig Kaschube at

Thank you so much for visiting and completing this form. God's Blessings on your Christmas and New Year!

- The St. John's Lutheran Church Youth & Young Adult Board
Email address *
First Name *
Last Name *
Your Best Phone # *
Best Phone # Type *
Street Address 1 *
Street Address 2
City *
State *
Zip Code *
Mailing Address Type *
Current School Attending *
2020-2021 Academic Year Grade Level *
Which social media sites/apps do you frequently use? *
Do you use text messaging? *
Would you be interested in joining and receiving SJLC Youth & Young Adult Ministry group texts for your age group (i.e. Jr. Youth, Sr. Youth, Young Adult, etc.) *
What is your most preferred way for us to contact you? *
What is your second most preferred way for us to contact you? *
Best Emergency/Backup Contact Name *
Emergency/Backup Contact Relation *
How is this person related/connected to you?
Emergency/Backup Contact Best Phone # *
Emergency/Backup Contact Best Phone # Type *
Emergency/Backup Contact Best Email *
Emergency/Backup Contact Best Email Type *
Additional Questions, Comments, Concerns for the Youth & Young Adult Board
A copy of your responses will be emailed to the address you provided.
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