High School Youth Ministry Contact Form - 2024-2025

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 2024-2025 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:

Allergies and Medical Concerns/History:

Additional important information (Sports/Clubs/Organizations, Family Life, Sensitivities), if not applicable to your student please type 'n/a'.

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.

Emails in this section will receive at minimum TWO emails a week! One on Tuesday Mornings the other on Thursday Afternoons.

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 firts!

However if unable to reach the parent/guardian contacts(s), this non-parent/guardian emergency contact twould be contacted.

This contact should be someone who is NOT a member of your household.

This person will not be contacted unless the contact(s) above can not be reached in an emergency.

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Contact Preferred Name:

Emergency Contact Relationship to Student

Phone

Unnamed LabAs the parent or legal guardian, I give consent for my youth to participate in all the scheduled youth activities of Alleluia! Lutheran Church and any other supervised activities customarily associated with its youth group including, but not limited to, off site youth events and overnight or weekend youth retreats. Further, I certify that my youth is able to participate in all activities. If there are special circumstances or I wish to revoke this consent for any reason, I will promptly notify the leader of Alleluia!'s youth program in writing. Also, I understand that my child may be photographed while participating in youth activities and that these images may be used by Alleluia! in their physical and digital publications, including online sources.el

I agree.

Description

Our High School 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.

High School Youth Ministry Contact Form - 2024-2025

Description

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