Youth Church Live!/ Youth Impact Week Registration
Youth Church is back! Every 1st & 3rd Saturday, we will hold a youth church service that will deepen our faith in a practical way. the Service will be a time of teaching, fellowship and service. we will be kicking it off on June 5 2021 via zoom. Register here and you will get a swag bag and instructions to participate in Youth Impact Week which will be held June 13th - 19th. All questions are required. For additional information reach out to Rev. Daryl P. Lobban at
Name of Youth (First and Last) *
Address: (mailing address including City/State/Zip) *
Email: *
Phone #: *
Grade Level of Student *
Age of Student *
Youth's T-Shirt Size *
Parent/Guardian's Name (First and Last) *
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