All Saints Youth Ministry

Junior High School Youth Group Registration
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Students can join the program by registering here.  Parents at the bottom of this page.

Student Registration Form
 
Please fill in the following information and submit...

First Name
Last Name
Home Address
City
State
Zip
Home Phone
Student's Email Address
Birthday
Mother's Name
Mother's Cell #
Mother's Work #
Father's Name
Father's Cell #
Father's Work #
Parent's Email Address
Emergency Contact
Emergency Phone
Family Physician's Name
Physician Phone
What school do you attend?
When will you graduate from High School?
What is your favorite junk food?
  

Parent Information Form

First Name
Last Name
Spouse's Name
Childs Name
Home Address
City
State
Zip
Home Phone
Cell Phone
Work Phone
Food Coordinator?
Food Team
Shepards?
Sign-In Helper?
Prayer Team?
Mailing/Office Help?
Food & Supply Donation?
Upper Room Donations?
  

A registration fee of $30 is requested to defray the cost of providing the events and activities.

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One of Gods many wonders...

If you have any questions or concerns, please call Rod Kresge at (703) 393-2141 ext. 161