Middle School Home Group Contact List 2017-18

Welcome to Middle School Ministries at Blackhawk Church! 
If you are NEW, please fill out this form to get on our contact list for Home Group.


Student information:

*First Name:
*Last Name:
Student email:
*Gender:
*Birthdate:
*What grade are you entering?:
*What school do you attend?:
*Did you attend Home Group last year?:
*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?:

2017/18 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? 
*Home Group location:
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: