JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Lighthouse Student Database
We would like to know more about yourself and your family so we can better communicate what's going on in Lighthouse with you! Please fill out the information the best you can. Thanks so much!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Grade (2023-24 School Year)
*
6th
7th
8th
9th
10th
11th
12th
Birthday (if completing via phone, swipe and select your birthday, then tap the year in the upper left to select your birth year)
*
MM
/
DD
/
YYYY
Student Email
Your answer
My Phone Number
Your answer
I prefer you...
Call me
Text me
Email me
Clear selection
Middle School (N/A for HSers)
Your answer
High School (for MSerS, the HS you anticipate attending)
Your answer
Mom's Name
Your answer
Mom's Email
Your answer
Mom's Phone
Your answer
Dad's Name
Your answer
Dad's Email
Your answer
Dad's Phone
Your answer
Congregation
Mandarin
English
Cantonese
My parents don't attend church
Other:
Clear selection
Parent Fellowship or Small Group
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Austin Chinese Church.
Report Abuse
Forms
