HSM Registration Form 2020/21

Welcome to High School Ministry at Blackhawk Church! Given the uniqueness of this season, we are asking that you re-register even if you have been involved in Home Groups in the past. We'd like you to fill out the registration form so that we can plan well. Even if you're unsure about Wednesday nights, filling out this form is the best way to stay connected & up to date on HSM. If you have questions, feel free to contact the HSM staff at hsm@blackhawkchurch.org.
*I am filling out this form to:

Student/Parent Information:
*Student First Name:
*Student Last Name:
Student Email:
Student Cell Phone:
*Street Address:
*City:
*State:
*Zip Code:
*Gender:
*Birthdate:
*Graduation Year:
*School:
_________________________________________
*Parent 1: First Name:
*Parent 1: Last Name:
*Parent 1: Cell Phone:
Parent 1: Home Phone:
*Parent 1: Email:
Parent 2: First Name:
Parent 2: Last Name:
Parent 2: Cell Phone :
Parent 2: Home Phone:
Parent 2: Email:
**NEW* this year! At the request of parents in the ministry - who are looking to connect with others in the same phase of life, we would like to help facilitate contact sharing amongst parents in each Home Group. Would you like to opt in to sharing your information with other famlies? 
Home Group Information: 

During the current COVID season, we will be meeting mostly online. Home Groups are determined based on geographic location. With this in mind, which Home Group would you attend?
*HG Location:
Please list two friend requests (same gender):
Please list two leader requests (same gender):
*Did you attend Home Group previously?:
Which Home Group were a part of?:
Who were your small group leaders?:
Appearance Release: As the legal parent/guardian for the minor child/student attending this programming, I understand that photographs and/or videos may be taken of my minor child/student during the course of this programming. I authorize and consent to the use of images or videos of my minor child/student by Blackhawk Church for purposes including, but limited to, promotional materials, internet posts including social media, and other media sources.
Consent:
Thank you for completing the form, we look forward to connecting with you! If you have any questions regarding Home Groups or general High School Ministry information, please feel free to let us know and someone from our staff team will be in contact with you! 
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