Name

First Name

Last Name

Phone

(###)

###

####

Grade

School

Hobbies / things you do when you have free time

What's something going really well right now in life, or something that's bringing you joy?

What's something that feels really hard in your life right now?

How long have you been at TerraNova?

Why do you attend TerraNova's High School Ministry?

Check as many options as you'd like

This is something my family does / my parents want me to

It helps me grow in my faith

My friends are here and I want to hang with them

I'm new to faith/Jesus and this is a place where I can explore

I feel like coming here helps me with my life

I'm not really sure, to be honest

What's one thing you like about being here / being part of this group?

What's one thing you wish were different (or one thing you wish you could change) about this group?

Anything else you want to share that would help us care for you or support you?