Core Registration | Pathfinder Church

CORE Registration Form

Please fill in your information below to complete registration.

Student Information
Student Name*
First Last
Student Birthdate*
MM
DD
YYYY
Gender*
Student Address*
Street Address Address Line 2 City ZIP Code
Student Main/Home Phone*
Student Cell Phone
Cell Phone Carrier (ie. Verizon)
Student Email
Grade*
- 6th
- 7th
- 8th
Name of School*
Allergies and/or Special Needs
Is there anything we should know about your child that will enable us to better serve your child? If so, please describe them above or call to discuss.
How did you hear about CORE?*
Parent One Information
Parent 1 Name*
First Last
Parent 1 Address*
Street Address Address Line 2 City ZIP Code
Parents 1 Main Phone*
Parent 1 Cell Phone*
Parent 1 Email*
Parent 2 Information
Parent 2 Name
First Last
Parent 2 Address
Street Address Address Line 2 City ZIP Code
Parent 2 Main Phone
Parent 2 Cell Phone
Parent 2 Email
Friend Request For Small Group Assignment
6th grade students will complete a friend request card at CORE in September. Returning 7th and 8th grade students may choose to stay with their group from last year or move to a different group. Notify Student Ministry staff by 9/7 if you would like to move to a new group or enter a friend/mentor request below. We will place you with the same group from last year unless we hear differently from you. New 7th and 8th grade students, please enter a friend request below. If possible, we will place you with students from your same school if you do not have a request.
Friend Request
First Last
Mentor Request
First Last
Parent Permission
The registrant has my permission to participate in Pathfinder Student Ministry programs and related activities, to include the Sunday morning middle school CORE program. I understand that when participating in Pathfinder Student Ministry activities, the registrant may be photographed for print, video, or electronic imaging. I understand the images may be used in promotional materials for Pathfinder Church. I acknowledge the images will be the sole property of Pathfinder Church.
Click below to accept*
- I accept

CORE Registration Form

Student Information

Parent One Information

Parent 2 Information

Friend Request For Small Group Assignment

Parent Permission