If you are part of the Student Ministries please fill this out. Student Name * Parent Names * Grade * 7th 8th 9th 10th 11th 12th School * Eaglecrest Holland Holland Christian West Ottawa Zeeland East/Cityside Zeeland West/Creekside Zeeland Christian Other Birthdate * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19921993199419951996199719981999200020012002 Please select your birthday. Cell Phone * Home Phone * Address * Email * Do you have facebook * Yes No Do you regularly attend * Sunday Morning Education Youth group at Calvary Youth group at another church/young-life/another ministry Nothing
