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)
Grade Level of Student
1st - 5th Grade (Elementary School)
6th - 8th Grade (Middle School)
9th - 12th (High School)
Age of Student
Youth's T-Shirt Size
Parent/Guardian's Name (First and Last)
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