Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

(###)

###

####

Parent's Cell Phone *

(###)

###

####

Relation *

Father

Mother

Guardian

Student's Name

First Name

Last Name

Student's Name

First Name

Last Name

Student's Name

First Name

Last Name

Student Ministry Parent Email List

Please place me on the GBC Student Ministry parent email distribution list.

Bus Information

Drive a Bus

I have a CDL License

I would be willing to test for a CDL License

Get involved with IMPACT Weekend

Host Home

Meal Service (at the church)

Recreation (Saturday afternoon)

Set Up (Wednesday night)

Tear Down (Saturday night)

Media Support

Get involved with Student Sunday School

Middle School

High School

Both

Get involved in Student Midweek

FUGE (Middle School)

HS Bible Study

CAMP Adult Leader (usually one week in the summer)

Middle School

High School

Both

MISSIONS Adult Leader (usually one week during the summer)

Tier 1 - Local Missions (various times)

Tier 2 - National Missions

Tier 3 - International Missions

I would like to help with set design for Student Ministry Events.

Know and would like to help with video creation and editing for Student Ministry Events.

Help with periodic food preparation

Photography for Student Ministry Events

Nurse for Student Ministry Events