Thanks for your interest in the Riverview Community Church Youth!

Please fill out this form to help us get to know you better.

If you have any questions about the Youth ministry, please contact Abel Foto at 206-371-5873.

Fill out the following form.

RENAME AND SAVE A COPY OF YOUR FORM ON YOUR OWN COMPUTER.

Email the form to: abel@rcckent.org

Your Information
Name:	Date Submitted:
Email Address:	Phone:
Address:	Birthdate:
City:	Gender:
State:	ZIP Code:
How long have you been attending Riverview Community Church?
What school do you attend?	What grade are you in?

Leader Information
Why do you want to be a student leader?

Faith Information
Have you committed your life to Jesus?
If yes, tell briefly about when that happened:

Other Information
Is there any other information you would like to add?