2021 Next Steps Luncheon

March 28 | 12:00pm-1:30pm | Please fill out this form with as much information you can and then click submit.

General Information

Parent Name

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Email

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This address will receive a confirmation email

Phone

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Address

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Number of people eating

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Please select one option.

1 2 3 4 5

Do you need childcare?

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Please select one option.

Yes No

If you need childcare, how many children will you be sending? (If you don't need it, check 0)

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Please select one option.

1 2 3 4 5

Student Specific Information

This section is information about and for your student. So please make sure a parent fills this information out.

Student Name

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Has your student ever made the decision to follow after Jesus as their Lord and Savior?

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Please select one option.

Yes No Unsure

Has your student ever been baptized by immersion?

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Please select one option.

Yes No

How would you describe your student?

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Is your student involved in travel sports?

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Please select one option.

Yes No Not currently but considering

As the parent, what is your biggest concern with your student entering into Middle School?

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Check all the areas that you are apprehensive about.

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Please select all that apply.

Bullying Social Media Sex Talk Gender Identification Drugs & Alcohol Friendship Identity The Future

As a R.O.P.E (Right Of Passage) would you take your student through passport to purity?

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Please select one option.

Yes No

Questions For Justin

If you have any questions for the student pastor, Justin, leave them below and he will either address them in the meeting or email you directly.

Leave your questions here.

*

Description

March 28 | 12:00pm-1:30pm

Please fill out this form with as much information you can and then click submit.

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