26-27 GEECC Student Ministries Registration Form

Parent Name

Parent Email

This address will receive a confirmation email

Parent Phone Number

I agree to receive the Weekly Student Ministries Newsletter

Yes No

Address

Student 1 Name

Student 1 Phone Number

Student 2 Name

Student 2 Phone Number

Student 3 Name

Student 3 Phone Number

List allergies and need to know medical info

I allow my student to participate in GEECC Student Ministries activities:

Yes No

I allow pictures of my student to be posted on GEECC social media:

Yes No

Description

Please fill out this form and click submit.