Middle School Home Group Connection Form 2018-19

Welcome to Middle School Ministries at Blackhawk Church! 

Please fill out this form if:
 
  • You are new to Middle School Ministries
  • You are registering another student in your family
  • You would like to be on the email list for Middle School Ministries & you aren't currently receiving emails
*No need to fill this out if your student was in Home Groups last year - they are already registered. If you have questions or need to update their information, please email Kristin.

*I am filling out this form to:
*Student First Name:
*Student Last Name:
Student email:
*Gender:
*Birthdate:
*What grade are you entering?:
*What school do you attend?:
*Address:
_________________________________________
*Parent 1: First Name:
*Parent 1: Last Name:
*Parent 1: Cell phone number:
Home phone number:
*Parent 1: Email:
Parent 2: First Name:
Parent 2: Last Name:
Parent 2: Cell Phone number:
Parent 2: Home phone number:
Parent 2: Email:
Allergies or special dietary concerns:
Any other special considerations?:

2018/19 Home Group locations

Home Groups will be determined based on gender and geographic location (i.e. Waunakee Girls, West Madison Boys). Middleton area students will also be split further in order to keep those Home Groups to a manageable size (Middleton West/Glacier Creek and Middleton East/Kromrey). 

Based on your geographic location and gender, which Home Group would you attend? 

NOTE: While we strongly encourage students to attend the Home Group that fits this description, we realize there may be circumstances where a student wishes to attend elsewhere. If so, please choose the group your student wishes to attend.
*Home Group location:

Thank you! We look forward to connecting with you and your students! 


If you have any questions regarding Home Groups, locations, serving, or general Middle School Ministry information,  please feel free to let us know and someone from our staff team will be in contact with you! (Optional)