Senior High Group Signup

Please Note: Most of our groups meet on Wednesday evenings. Fall signups will close on 9/4. You can still sign up after that, but options will be greatly limited.

First Name
Last Name

Date of Birth
Grade


Where do you go to school?
Parent/Guardian Name
Address
City
Zip
Home Phone
Cell Phone (yours)
Cellular Carrier
Email
Do you want the same group as last year?

Please share the names of friends you'd like to be in group with (We'll try, but no guarantees).
1.
2.
Anything else we should know?
Please answer the simple math question below to submit the form.
2 + 2 =