Student Form – The Jesus Clubs

JESUS CLUB STUDENT SIGNUP

First Name*

Last Name*

Email*

Phone

Birth Year

Gender Dropdown*

Church

School Name(s)

Mailing Address*

City*

State*

Zip Code*

Nation *

@name (social handle)

Shirt Size

Tell Us More About You

How did you hear about us?

Training

Yes, I completed a Jesus Club Training.

Commitment

Yes, I commit, by the grace of God to fast and pray for my school, and to reach my school with the Gospel.

Connect With One voice