Grade 9 - 12 Registration Form

The grade 9-12 students will transition to their own night on Fridays beginning September 28th. The night will start at 7pm, where we’ll pursue Godly relationships, be bold in what we believe & impact our community as we serve.
Student Info

 
 
 
 
 
 
 
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Please select one option.
Parents/Guardians

Parent/Guardian 1
 
 
 
 
 
Parent/Guardian 2
 
 
 
 
 
Emergency Contact

 
 
Medical Info

 
 
 
 
Disclaimer

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Please select one option.
Please select one option.
Please select one option.

Description

The grade 9-12 students will transition to their own night on Fridays beginning September 28th. The night will start at 7pm, where we’ll pursue Godly relationships, be bold in what we believe & impact our community as we serve.