Youth Hangout Registration

* Indicates required field

Parent(s) Name *

First

Last

Parent(s) Name *

First

Last

Parent(s) Phone Number *

Parent(s) Email *

Childs Name *

First

Last

For Multiple Children *

Child(ren) Age(s) Grade(s) *

K - 12 Please Select A Time *

Preferred Communication (you may choose more than one) *

Text Email Phone Call Facebook

Please let us know if you have any questions and we will do our best to answer those for you.

Comment *

Thank you, we look forward to you beginning your class November 1, 2020

Sunday's @ 2:30

Join ZOOM meeting

Sundays @ 1:30 pm

Sunday's @ 5:00 pm