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Student Registration
Student Ministry Registration 2020-2021
Parent Info:
*
Indicates required field
Parent 1 Name
*
First
Last
Parent 2 Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Is this a cell phone?
*
Yes
No
Email
*
Emergency Contact
*
First
Last
Emergency Contact Phone Number
*
Student 1:
Name
*
First
Last
Email
*
Date of Birth
*
Age
*
Phone Number
*
Grade
*
School
*
Allergies
*
Student 2:
Name
*
First
Last
Email
*
Date of Birth
*
Age
*
Phone Number
*
Grade
*
School
*
Allergies
*
Student 3:
Name
*
First
Last
Email
*
Date of Birth
*
Age
*
Phone Number
*
Grade
*
School
*
Allergies
*
Submit
Other Required Forms
Please PRINT and COMPLETE each of these forms and return them to the church office.
Photo Consent and Medical Release
Home/About Us
About Us
Our Denomination
Location & Times
Staff
Elders (Governing Leaders)
Values & Beliefs
Testimonies & Videos
Files & Forms
Resources: Life's Big Questions
Contact Us
Sermons
Events
Schedule
Pizza with the Pastors
Community Connections
Parkview Partnership
Community Partnerships
Mustard Seed Gardens
Community Corner
Ministries
Rooted Kids
>
Rooted Kids Registration
Parent Resources
Anchored Youth
>
Student Registration
Parent Resources
Adult Small Groups
>
Small Group Sign up
Missions
MOPS
Flourish
Safety
Opportunities to Serve
MyPAC Login
Give