Lighthouse Youth Registration

Welcome to Lighthouse Youth!

We’re so excited for your student to join us this year. Lighthouse Youth is a place where students can belong, have fun, build friendships, and grow in their faith. Whether they’re exploring who Jesus is or looking to deepen their relationship with Him, there is a place here for them.

Please fill out the registration form below so we can keep you updated on upcoming events, gatherings, and special opportunities. This information helps us care for your student well and keep our programs safe and organized.

We can’t wait to journey with your family this year!

Parent / Guardian Information

Student Information

Date

First Name 
Last Name
Relationship to child
Phone number

Medical & Allergy Information

Pickup & Dismissal Information

Photo & Video Release

Lighthouse Community Church occasionally  takes photos/videos during services and events for church communications and social media.

Parent / Guardian Consent & Signature

By signing below, I affirm that the information provided is accurate.  I give Lighthouse Community Church permission to care for my student(s) in alignment with the information above and to contact me in case of emergency.