subject_line
Student Information
First Name
*
Last Name
*
Grade
*
7th Grade
8th Grade
Gender
*
Male
Female
School Name
*
Date of Birth
*
Street Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Came to Jhigh Ministry last year?
*
Yes
No
If so, name of last year's group leader
I have food allergies
yes
please describe allergies
Family Information
JHigh ministry hopes to connect with and support our parents through a short weekly newsletter. Each week, you'll receive a short email with a short summary of what we discussed at JHigh, resources for your and your child to learn more, and follow-up questions to ask your child to deepen conversation about the faith at home! Add your email below to sign up!
Home Phone
*
Family Email Address
*
Alternate Email Address
leave this checked to receive updates by email
Dad's Name
Dad's Phone
Mom's Name
Mom's Phone
Mom is interested in helping with
*
Small Group Leader
Food Ministry
Setup/Teardown Ministry
Not at this time
Other, like . .
Other, like . .
Dad is interested in helping with
*
Small Group Leader
Food Ministry
Setup/Teardown Ministry
Not at this time
Other, like . .
Other, like . .