Personal Information Form | Second Presbyterian Church

info@2ndpreslou.org Subscribe to our Newsletter 502.895.3483 3701 Old Brownsboro Road Louisville, KY 40207

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Personal Information Form

Second Presbyterian Youth
Louisville, Kentucky

Event: 2019-2020 Youth Group Trips & Events

Participant Information

Last Name:

First Name:

Preferred Name:

Youth Cell:

Address:

City:

State:

Zip:

School:

Grade:

Birthday:

Youth Email:

Parent/Guardian Contact Information

Names of Parent(s) Youth Lives With:

Mom/Stepmon info:

Cell Phone:

Work Phone:

Email:

Dad/Stepdad info:

Cell Phone:

Work Phone:

Email:

Names of Parent(s) Youth does NOT Live with:

Mom/Stepmon info:

Cell Phone:

Work Phone:

Email:

Dad/Stepdad info:

Cell Phone:

Work Phone:

Email:

Information

Office Hours

MON–FRI: 9:00am – 4:00pm

SAT–SUN: Closed

Address

3701 Old Brownsboro Road

Louisville, KY 40207

Contact

info@2ndpreslou.org

+1 502.895.3483 office

+1 502.897.9205 fax

Morning Worship

9:00am

Outdoors

Sunday School

Online Worship

11:00am

Click here for youtube link

Sharing grace …

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