Remnant Student Connect Form

Student's Name

Student's Address

Student's Phone Number

Student's Email Address

Student's Date of Birth

What Grade are you currently in?

What school do you currently attend?

Tell us a little about yourself, such as your interests, hobbies, etc? (i.e., music, playing instruments, sports, etc.)

At Remnant, we partner with parents! Parents are the primary spiritual influence on their children, and our goal is to join parents and work alongside them!

Parent's Name

Parent's Address

Parent's Phone Number

Parent's Email Address

How do you prefer to be contacted?

Phone

Email

Any questions or comments?

Success! Your Remnant Student Connect Form has been submitted.