AYHigh - High School Youth Ministry Interest Form - 2023-2024

Student Information:

This section is primarily used for the direct communication with the registering student.

Student's First & Last Name:

Student's Preferred Name:

Student's Grade for 2023-2024 School Year:

9th Grade - Class of 2027 10th Grade - Class of 2026 11th Grade - Class of 2025 12th Grade - Class of 2024

Student's Primary Address:

Student's Email:

Student's Phone:

Additional important information (Allergies, Medical Concerns/History, Family Life, Sensitivities):

Guardian Contact Information:

Information given in this section will primairly be used for communication with parent/guardian figures. One parent/guardian's information is required per student in case of emergency. If the first parent/guardian listed is not contactable in an emergency situation, the second optional parent/gaurdian in this section would be contacted.

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Preferred Name:

Parent/Guardian Relationship to Student:

Parent/Guardian Phone:

Parent/Guardian Email:

This address will receive a confirmation email

Address:

2nd Parent/Guardian First Name:

2nd Parent/Guardian Last Name:

2nd Parent/Guardian's Preferred Name:

2nd Parent/Guardian's Relationship to Student:

2nd Parent/Guardian Phone:

2nd Parent/Guardian Email:

This address will receive a confirmation email

2nd Parent/Guardian Address:

Emergency Contact Information:

In an emergency situation, the parent/guardian contact(s) would be contacted first. However, if unable to reach the parent/guardian contact(s), this non-parent/guardian emergency contact would be contacted. This contact should be someone who is NOT a member of your household.

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Contact Preferred Name:

Emergency Contact Relationship to Student

Phone

Description

AYHigh is our program for grades 9-12. Our weekly meeting is on Tuesday evenings during the school year from 7:00-9:00pm. During this time, high school students engage in a time of fellowship, activities, and learning. We welcome Alleluia! youth, friends, and visitors! Students also are given the opportunity to experience retreats, service opportunities, and a summer trip!

There is no formal registration for high school students to get involved. If you would like to be added to the email list reach out to Kurtis Arndt.

AYHigh - High School Youth Ministry Interest Form - 2023-2024

Description

Please Fix the Following