New Students

Please complete the following information so we can connect you to a Student small group.

*First Name

*Last Name

*Email Address

*Phone Number

*Address Line 1

Address Line 2

*City

*State/Province/Region

*Zip/Postal Code

*Birthday:

*Gender:

MaleFemale

*Grade (2023-2024 School Year):

6th7th8th9th10th11th12th

Friend that attends:

*Campus:

Clear LakeEast 96Egret Bay528Not Sure

*School:

*Parent Name:

*Parent Cell Phone:

*Parent Email Address:

*Who is filling out this form?:

Submit Form

Central Office:

999 FM 270, League City, TX 77573 | 281.338.5433