St. Louis Young Church

If you would like to download a form to submit via email or in person, please click here to download. When completed, bring it by the PEC building, Monday - Friday, between 8:00 a.m. and 5:00 p.m.

If you would like to submit an electronic form, please fill out the information below. Once you press Submit, the form will redirect you to the electronic payment for Young Church.

Fees:

1 Child: $50  //  2 Children: $60  //  3 Children: $70


Young Church Registration Form 2016-17

Father/Legal Guardian's Name: *
Father/Legal Guardian's Name:
Choose One: *
Phone: *
Phone:
Mother/Legal Guardian's Name: *
Mother/Legal Guardian's Name:
Choose One: *
Phone: *
Phone:
Address: *
Address:
Youth Information:
Child One: *
Child One:
Birthdate: *
Birthdate:
Child Two:
Child Two:
Birthdate:
Birthdate:
Child Three
Child Three
Birthdate:
Birthdate: