Collision Student Info Sheet • Lakepoint Church

As we come to a new season and transition, please update your contact information below. We want both parent and student to be on the receiving end of emails and text messages for Collision information, if desired.

As always, please email kennedy@lakepointmuskego.org with any questions.

Thank you!

Student's First Name *

Last Name *

Home Address *

Home City *

Home State *

Home Zip Code *

Date of Birth *

Allergies (Food/Medication)

Gender *

Student Phone Number

Would you like to receive text communication? *

Yes

Student Email

Tip: Student's email

School Attending

School Grade

How did you hear about Collision Student Ministries?

Parent or Guardian's First & Last Name *

Parent Email

Parent Phone Number

Would you like to receive text communication? *

Yes