2026 Rise Jr. Youth

Parent/Guardian (1) Name

Parent/Guardian (1) Cell Phone

This address will receive a confirmation email

Home Address

Parent/Guardian (2) Name

Parent/Guardian (2) Cell Phone

Authorized Pickup Person/Emergency Contact

Emergency Contact Phone

Emergency Contact Relationship

How did you hear about our JR Youth Group/Confirmation?

Student #1 information

Name

Gender

Male Female

Phone

Birthday

Grade

2nd 3rd 4th 5th 6th

Anything you would like us to know about your child? Medical Concerns, Allergies, behavior concerns?

Student #2 Information

Name

Gender

Phone

Birthday

Grade

Anything you would like us to know about your child? Medical Concerns, Allergies, behavior concerns? Label

Student #3 Information

Name

Gender

Phone

Birthday

Grade

Anything you would like us to know about your child? Medical Concerns, Allergies, behavior concerns? Label

Student #4 Information

Name

Gender

Phone

Birthday

Grade

Anything you would like us to know about your child? Medical Concerns, Allergies, behavior concerns? Label

Photo Release

I give permission for Christ the Victor Lutheran Church to capture photos and/or video of my child(ren) during Vacation Bible School. I understand these images may be used to celebrate and share what God is doing through this ministry on our website, social media, and other church communications.

Description

RISE Jr. Youth Group

August 2026–May 2027

We’re excited to welcome students to RISE Jr. Youth Group and Confirmation at Christ the Victor!

RISE Jr. Youth Group
For students in 2nd–6th grade
Led by Karla Chase

Parents may drop their students off and pick them up at 7:30 PM, or they are welcome to stay and help—we can always use an extra hand!

✨ Participation is completely FREE, and students do not need to attend Christ the Victor to participate. All are welcome to join us, make new friends, and grow in faith!

2026 Rise Jr. Youth

Description

Please Fix the Following