• Contact INFORMATION

  • Theo Snow
    Coordinator of Youth Ministry
    (540) 344-9814 ext. 123
    tsnowstandrewsva.org

• Please complete the form below to register to participate in the Middle School Youth Group.
  Registration is free.

• Middle School Youth Group Registration

  The maximum number of form submissions has been reached. This form is currently not available.

  • Parent Name (First and Last Name) REQUIRED Please fill out this field. Please enter valid data.
  • Student Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.
  • Student Preferred Name Please enter valid data.
  • Street Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • What school do you attend? REQUIRED Please fill out this field. Please enter valid data.
  • Grade (fall of 2023) REQUIRED 6th grade 7th grade 8th grade Please fill out this field.
  • Are you allergic to anything? (kept confidential / for staff purposes only) REQUIRED Yes No Please fill out this field.
  • Please specify any allergies (food, medications, etc.) Please enter valid data.
  • Do you have any emotional, physical or sensory conditions? (kept confidential / for staff purposes only) REQUIRED Yes No Please fill out this field.
  • Please specify any physical and/or sensory conditions we should be aware / special accommodations. Please enter valid data.

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