My Blackhawk

*I am filling out this form to:

Register my student for Middle School Ministry (new to the ministry).Get on the email list, I'd also love to talk to someone more about MSM Home Groups.Get on the email list as my student is already registered for Home Group, but I haven't been getting emails.Leader filling this out for a new student who came to Home Group

*Student First Name:

*Student Last Name:

Student email:

*Gender:

MaleFemale

*Birthdate:

*What grade are you in 2020/21?:

*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?:

2020/21 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:

Do you have friend(s) who are already in a Home Group?:

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)

Middle School Home Group Connection Form

2020/21 Home Group locations

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