Covenant Presbyterian » CPYG Student Info

CPYG Student Information

New to CPYG (Cov Pres Youth Group)? Fill out this form to provide more information about your 7th-12th grader.

"*" indicates required fields

Student's Name*

First Last

Student's Email

Student's Phone #

School*

Grade*

Parent/Guardian's Name

First Last

Parent/Guardian's Email

Parent/Guardian's Phone #

(2) Parent/Guardian's Name

First Last

(2) Parent/Guardian's Email

(2) Parent/Guardian's Phone #

Would you like to be added to our email list for Youth Ministry?*

Yes