AMPD (Middle School) Student Information Form

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PLEASE COMPLETELY FILL OUT THIS FORM

Name (First and Last)
*

Birthday (Month/Day/Year)

Grade for 2023-2024 School Year
*

6th

7th

8th

Gender
*

Boy

Girl

Required

Birthday *

YYYY

Student Phone Number

Parent Name(s)
*

Parent Phone Number
*

Parent Email(s)
*

Address
*

Lives With
*

Mom

Dad

Both

Other:

Have you ever been baptized? *

Yes

As an infant

Do you regularly attend worship service at The Chapel on Sunday mornings? (2-3 times a month) *

Yes

I attend another church regularly on Sunday mornings

Where do you serve at The Chapel on Sunday mornings? If you serve in a different ministry not on Sunday mornings or not at The Chapel, please put that! *

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