Raising Highly Capable Kids Participant Registration

Please note that your responses to any and all of the following questions WILL NOT disqualify you from participating in Raising Highly Capable Kids. Leaders will keep all personal information disclosed on this form confidential.
General Information
Applicant
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home/Cell Phone*
Text Opt In
- I would like to receive text messages for general class reminders/feedback/information
Email*
- I would not like to be added to the STCH Ministries general communication list (magazine, emails, etc.)
Date of Birth
MM slash DD slash YYYY
Home Church:*

General Information