Covenant Eyes Sign-Up Form

Make sure you and your accountability partner are both present when you fill this out.

Student Name *
Student Name
Student Birthday *
Student Birthday
Accountability Partner *
Accountability Partner
If you have a mentor or Covenant Group leader, they will be your accountability partner.
Accountability Partner Birthday *
Accountability Partner Birthday
(optional)
(optional) Example: Justin Bieber, justin@justinbieber.com Example: Lebron James, lebron@lebronjames.com