Go

Contact Us

MADISON MEETING LOCATION

1702 S. Park St.
Madison, WI 53713

MAILING ADDRESS

PO Box 259913
Madison, WI 53725

PHONE

(608)819-6451

E-MAIL

Student Ministry Registration

Please take a moment to register your student this year! If you have registered your student in the past please take the time to do so again this year. This helps to provide us with the most accurate contact and health information concerning your student so that we can know how to serve them best!
 
Please include your student's phone number and email address as you feel comfortable. By providing this information you are giving our Student Ministry Leaders permission to directly communicate with your student through these means of communication. You as a parent have the right to revoke this permission at any point. 
 
We look forward to sharing in the growth of your student this year!
 
Student Ministry Student Registration
Student Information

Gender*

( )   -

Address*

,  

Geneder

( )   -

Radio Buttons

Parent Information

( )   -

( )   -

Medical Information

Back to Top