ACCYG Registration 2016-17
This registration is for all Students in 6-12 grades who will be attending Auburn Christian Church -  Auburn, Nebraska in the 2016-2017 school year. ACCYG will be on Wednesday nights at the church from 7:00 to 8:30 PM, with High School students sticking around until 9 PM.  Completing this online form will help us stay in touch with you and make sure that you know all that is happening with our youth group. If you have any questions about our church or youth programming, feel free to visit our website (www.auburnchristian.org) or call our youth minister, Nate Powell, at 402.618.9793.
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Is this a First-Time registration or a returning student registration? *
Student First Name *
Student Last Name *
Street Address *
City *
State and Zip Code *
Student Cell # (If applicable; if none, type none) *
Age *
Grade in School *
Birthday
Mother/Father/Guardian Names *
Home Phone # (If applicable; if none, type none) *
Dad's Cell # (If applicable; if none, type none) *
Mom's Cell # (If applicable; if none, type none) *
Does student have a Facebook?
If yes, what is your (student) Facebook name?
Does student have a Twitter?
If so, what is your (student) Twitter handle?
Does student have an Instagram?
If so, what is your (student) Instagram handle?
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