EmailMeForm
NXTGEN Contact Us Form
Please fill out your information if you are in Jr. High or High School Ministry and one of our team members will connect with you soon.
Service Times:
Jr. High School (JHM), Sundays at 11:30am
High School (HSM), Wednesdays at 7:00pm
Young Adults (YA), Thursdays at 7:00pm
Student Name:
*
First
Last
Date of Birth:
*
MM
/
DD
/
YYYY
Parent Name:
*
First
Last
Student (or Parent) Email:
*
Student (or Parent) phone:
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Student Grade:
*
Please select
7th
8th
9th
10th
11th
12th
Briefly explain what you are contacting us about today:
*
