Students Connect Card

If you are new to the church and in middle school or high school, we have some amazing opportunities for our students here at World Outreach Church. Take a few moments to complete the form below; this will allow us to help you connect with our ministry and other students, and it will allow us to keep you informed of important updates and changes.

Be sure to check out our social media for the most current information!

Instagram / YouTube / Student Website

Work Entry

First Name

Last Name

Gender

Male Female

Birthdate

/ /

Grade

Address

Student Email

Student Cell Phone

Uncheck the box below if you do not want receive SMS communications.

Jr High School

High School

Primary Parent First Name

Primary Parent Last Name

Primary Parent Cell Phone

Uncheck the box below if you do not want receive SMS communications.

Primary Parent Email

Primary Parent Gender

Male Female

Submit Form Add Sibling(s)