Middle School Registration

Student Name:
Student's Birth Date:
School Student Attends:
Church Class:	7th Grade 8th Grade
Student E-mail address
Parent/Guardian Name(s)
Phone Number:
Address:
In order to be good stewards of the Earth and our budget, we would like to begin sending program information through Email rather than through the U.S. Postal Service. Which option do you prefer?	I would like to receive information through Email. I would like to receive letters and post cards through the U.S. Postal Service.
Email Address: