The Church of Eleven22
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Student Respond Card
Student Respond Card
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Date
4/26/2024
First Name
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Last Name
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Gender
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Date of Birth
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Date of Birth cannot be a future date.
Email
Email address is not valid
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Phone
Phone is required.
Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Grade is required.
Address
AL
AK
AS
AR
AZ
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CO
CT
DE
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FM
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GA
GU
HI
ID
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Campus
Arlington
Baymeadows
Fleming Island
Jesup
Mandarin
North Jax
Orange Park
Ponte Vedra
San Pablo
St. Johns
Eleven22 Online
NONE
Campus is required.
School
Arlington MS
Atlantic Coast
Beaches Chapel
Bishop Kenny
Bolles School
Christ's Church Academy
Darnell Cookman
Douglas Anderson
Dupont MS
Ed White HS
Englewood HS
Episcopal
Fletcher HS
Fletcher MS
Fort Caroline MS
Harvest Christian Academy
Harvest Community
Holy Spirit Catholic School
J.E.B. Stuart MS
J.Landon College& Leadership
James Weldon
Kernan MS
Kirby-Smith MS
Landmark
Landrum Middle School
Lavilla School of the Arts
Mandarin HS
Mandarin MS
Mayport MS
Parsons Christian Academy
Paxon HS
Ponte Vedra HS
Providence
Raines HS
Ribault HS
Rivercity Science Academy at Mandarin
Robert E. Lee HS
Sandalwood HS
Southside MS
Stanton
Terry Parker
Twin Lakes Academy MS
University Christian HS
University Christian MS
Waverly Academy
West Nassau High School
Wolfson HS
River City Science Academy @ Beach
Virtual School
Home School
Franklin HS
Creekside
Bartram Trail
Tocoi Creek
Nease HS
St Augustine HS
Pedro Menendez
Matanzas HS
Wayne Christian Academy
Coastal Plains Charter High School
Wayne County High School
Arthur Williams Middle School
Martha Puckett MS
Thomas P James Academy
Solid Rock Christian Academy
Martha Rawls Smith Elementary
James E. Bacon Elementary
Jesup Elementary School
School is required.
Parent First Name
Parent First Name is required.
Parent Last Name
Parent Last Name is required.
Parent Email
Email address is not valid
Parent Email is required.
Parent Phone Number
Parent Phone Number is required.
PRAY
Our Student Ministry Team prays for your prayer requests weekly.
Please have a student ministry staff member reach out to me about my prayer request.
Prayer request:
RESPOND
We encourage you to respond out of obedience to how Jesus is moving in your life.
I want to surrender my life to Jesus
I want to be baptized
I want to go on a Mission Trip
CONNECT
We encourage you to get connected to our Eleven22 Student Family.
I am a first time guest
I want to join a Small Group
I want to Serve
GIVE
We respond to the gospel by bringing our first and best in Jesus Christ. For more information on how you can give please
click here
.
I have questions about giving
Giving Question:
Submit