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Discipleship for Teens
Please fill in as best you can for now. Please fill out this form for each additional teen. Thank you. Steve Eatmon.
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* Indicates required question
Name of Teen
*
Your answer
Gender of Teen
*
Male
Female
Grade of Teen
*
Grade 06
Grade 07
Grade 08
Grade 09
Grade 10
Grade 11
Grade 12
Parent 1 name (or legal guardian)
*
Your answer
Parent 1 phone number (or legal guardian)
*
Cell phone preferred
Your answer
Parent 1 email address (or legal guardian)
*
Your answer
Parent 2 name
Your answer
Parent 2 phone number
Cell phone preferred
Your answer
Parent 2 email address
Your answer
Available times for discipleship meetings
*
Check all that could work for you and your teen
Mon 3-5 pm
Mon 5-7 pm
Mon 7-9 pm
Tue 3-5 pm
Tue 5-7 pm
Tue 7-9 pm
Wed 3-5 pm
Wed 5-7 pm
Wed 7-9 pm
Thu 3-5 pm
Thu 5-7 pm
Thu 7-9 pm
Fri 3-5 pm
Fri 5-7 pm
Sat morning
Sat afternoon
Sat evening
Sun afternoon
Sun evening
Required
Meeting frequency
*
Check all that could work for you and your teen
Every week
Every 2 weeks
Required
Meeting duration
*
Check all that could work for you and your teen
5-8 weeks
8-12 weeks
12-16 weeks
Required
My teen prefers discipleship in a
*
Check all that could work for your teen
One on one setting
Group setting
Required
My teen's current attitude towards Christianity and the church is:
*
Check all that applies to your teen
Turned off
Apathetic
Inquisitive
Stagnant
Growing
Ministry-seeking
Other:
Required
Specific issues that the staff should be aware of relating to your teen
Your answer
Other comments or issues
Your answer
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