Relentless Student Contact Form New Student Contact Form Student InfoName* First Last Gender* Male Female Birthdate* MM slash DD slash YYYY Current Grade*Select Grade6th7th8th9th10th11th12thHome Church*Please select your home churchLiving Light KenoshaLiving Light RacineNo ChurchOtherName of Church PhoneEmail Did you come with a friend? Yes No Name of Friend: Parent or Guardian InfoPlease include parent info so we can send them info about the Relentless schedule and other important information.Name First Last Relationship to Student Email PhoneDo you have any questions, comments, or prayer requests?CAPTCHA Relentless Youth Group is led by Chris and Rachel Reitz, along with a team of dedicated youth leaders. Questions? relentless@livinglightchurch.com Stay connected with the Living Light Mobile App! Get the App! Kenosha: Racine: Taunton & Wellington:
