Youth (11 to 18)

As a community of disciples we are committed to growing in faith by:

Learning
Living
Sharing God’s love and grace with the world

Ministry Areas include:

D’260 – Middle School
D’Group – High School

Click to download and print Discipleship Ministry “D-Ship” Registration Form

Discipleship Ministry "D-Ship" Registration Form 2011-2012 (Pre-K to 12th Grade)

(1st) Student's Name:
Birth Date:
Age:
Grade in School:
School:
Cell Phone:
Allergies:
Special needs or recommendations:

(2nd) Student's Name:
Birth Date:
Age:
Grade in School:
School:
Cell Phone:
Allergies:
Special needs or recommendations:

(3rd) Student's Name:
Birth Date:
Age:
Grade in School:
School:
Cell Phone:
Allergies:
Special needs or recommendations:

(4th) Student's Name:
Birth Date:
Age:
Grade in School:
School:
Cell Phone:
Allergies:
Special needs or recommendations:

Family Home Address (street city state zip):
Family Primary Phone Number:
Family Primary Phone Number type:
Family E-mail Address (Your E-Mail Address):
Primary person responsible for student(s):
Relationship to student(s):
Phone Number:
Primary Contacts Phone Number type:

Emergency Contact #1 for Student(s):
Name:
Relationship to Student:
Phone:
Cell Phone:
Work Phone:
Emergency Contact #2 for Student(s):
Name:
Relationship to Student:
Phone:
Cell Phone:
Work Phone:

Who will pick up student(s) after each session?
Is there anyone that may not pick up child?

Echo Hill Presbyterian Church Photograph Release Form

Minor children need to have parent's or guardian's permission for EHPC to use their picture on the EHPC web site or in other materials. If you mark yes, the undersigned party gives permission for Echo Hill Presbyterian Church to use such pictures. If you do not want your children's pictures on the Web Site or other church materials, please mark no on the space provided and write their name(s).

Please note that if you select no, we may have to ask your child to not be included in any photography being done. Please explain this in advance to your child. Thank you.

Yes No

Parent or Guardian Name (required):

Child Safety Policy

Please review our Child Protection Policy on our website: at

Child Protection Policy