2018 JH Small Group Registration

*Address Line 1
Address Line 2
*Zip/Postal Code
*Grade for 2018-19 School Year:
*Name of school for 2018-19:
Dad's Name:
Dad's email:
Dad's Cell:
Mom's Name:
Mom's email:
Mom's cell:
Ephesians 3:16-19 “I pray that from his glorious, unlimited resources he will empower you with inner strength through his Spirit. Then Christ will make his home in your hearts as you trust in him. Your roots will grow down into God’s love and keep you strong. And may you have the power to understand, as all God’s people should, how wide, how long, how high, and how deep his love is. May you experience the love of Christ, though it is too great to understand fully. Then you will be made complete with all the fullness of life and power that comes from God.":
I understand being a part of a Junior High Small Group is a privilege, not a right. Keeping that in mind, I am committed to make my small group meetings a priority. I will show up prepared, with a right heart attitude that honors my peers, my leaders and my God. My agreement to these expectations of Junior High Small Group will allow everyone to have the very best experience and grow in relationship with Jesus. :
*I agree to the above commitment (student name),:
*Please list 1 - 3 friends that you'd like to be in small group with. We do our best to honor requests but can't guarantee these.:
Is there any circumstances or challenges your student is currently facing that you would like the JH Staff to be aware of?:
Does your student have any challenges with learning, social settings, or other special needs that we should be aware of?:
7th & 8th graders ONLY - Were you in a Junior High Small Group last year?:
Who was your leader?:
On a scale of 1 - 5, how well did you connect with your leader? (1 - didn't connect at all, 5 - connected really well):
Would you like to be in the same group this year?:
Parents: If you would like be a Junior High Small Group Leader, please complete the following.:
Name/Names of Parents to be Leaders:
Which service do you normally attend?:
Which Eastview Campus do you attend?: