My Stonebriar - Stonebriar Community Church

*Student's Cell Number (if you don't have one, put NA):

*Student's Email (if you don't have one, put NA):

*Date of Birth:

*Gender:

FemaleMale

*Is this your first time attending SCC Midweek activities?

YesNo

If you attended midweek last year, who was your small group leader?

*Which school do you attend?

*Is there anything you would want us to know about you (your student)?

*What is your relationship with Jesus?

I have a personal relationship with JesusI am still trying to figure out what I believe

*Have you been baptized before?

YesNo

*Parent First and Last Name:

*Parent Cell:

Event Registration