AMPED YOUTH MINISTRY Program Form

Size: px
Start display at page:

Download "AMPED YOUTH MINISTRY Program Form"

Transcription

1 AMPED YOUTH MINISTRY Program Form Youth participant s full name: Date of Birth: Sex: Male Female Address: Home Phone: Cell Phone: School: Grade: May the youth ministry leaders/ volunteers contact the youth participants by: Home Phone: Yes No Cell Phone: Yes No Yes No Social Media Yes No Is the family a member of Epworth UMC? Yes No (If not, please contact the church office for a registration form) Father s / Guardian s full name: Home phone: Cell phone: Mother s / Guardian s full name: Home phone: Cell phone: Teen lives with: Parents Father Mother Guardian Other Emergency contact name: Home phone: Cell phone: Teen has received the sacraments of: Baptism Confirmation Please indicate any specific concerns that our Youth Ministry Team should be aware of for your teen. Academic, Physical, Behavior etc Health Insurance Information Insurance Company Policy Number Insurance Company Phone Number Family Doctor Phone number Special medical needs or concerns (allergies, conditions, dietary needs, medications, etc.): Other information leaders should know about the participant:

2 AMPED YOUTH MINISTRY A Ministry Preparing Extreme Disciples EXPECTATIONS & GUIDELINESA The AMPED Youth Ministry is for youth in grades 6 12 and is led by Rev Bill Jones along with a team of adult leaders. AMPED meets Sunday evenings during the school year (September to June) from 6:00pm- 7:30pm in the Catacombs building next to the main church. Throughout the year there will also be occasions for the youth to participate in retreats, Christmas and Sonrise services and other outreach opportunities. Our focus is seeking God's call and will, so that we can live in His grace and make a difference in His world. The first time you come you're a guest and the second time you are family. Come be a part of our family and allow God to do extreme things in your life. Below we have provided you with the guidelines for the AMPED Youth Ministry. Please read and sign to confirm that both youth and parent/guardian understand and agree to the guidelines. Guidelines/Policies WHAT YOU CAN EXPECT FROM: Friendships We will provide a Christian peer group. We will make every effort to provide an environment where spiritual growth and fellowship can occur in the midst of Christian friendships. Leaders We will strive to provide a team of responsible adult leaders who desire to serve others with hearts and hands and model a devoted and passionate relationship with Christ. Transportation You can expect safe and dependable transportation while traveling with the youth group. Responsibility While on youth functions, we will take the responsibility of the youths in our care. We take that responsibility very serious while they are under our supervision. However, responsibility of youth during worship service, before and after gatherings, on the church parking lot, etc. lies in the hands of parents. When youth actions are brought to our attention during these times, we will direct those comments to you as parents. Communication We will make every effort to communicate to you as a family. Communication will be provided to you concerning what is going on in the AMPED Youth Ministry through , Facebook, Epworth UMC website, Google Calendar, phone and or print copy. Cooperation We will involve you in any discipline situation that may arise involving your youth. We strongly believe that a cooperative approach to correction returns the God- given responsibility of discipline to you as parents.

3 WHAT WE EXPECT FROM THE YOUTH: Participation We expect each youth to participate in activities with the entire group when deciding to be a part of a particular event, trip, or class in order to be in community with one another. Exceptions for this are made in case of illness, injury, and other special circumstances. Responsibility & Respect We expect each youth to take responsibility for his / her actions. We expect each youth to cooperate and respect all adults and adult leaders, other youths by lifting each other up rather than tearing them down, the property of others, the church building and the areas and property we visit while away. Our actions should always demonstrate appreciation and respect for chaperones, drivers, hosts, and other youth leaders whether or not they are from our congregation. Their instructions should be followed without complaint or resistance. Rules and guidelines Rules and guidelines are not put into place to hold people down and use authority over them, but to help maintain the group and shine as Christian examples out of love for God. The following are rules and guidelines that we will work from in everything we do in order to minimize conflicts among the group and maximize spiritual growth. Jesus Christ is to be lifted up in all actions and attitudes of those participating in events and activities Respect the church s property including the building itself, the landscape, the furniture and or items within the building Respect all locations where AMPED is representing Epworth UMC No drugs, alcohol, tobacco products, fireworks, weapons, pornographic material will be allowed Never leave the supervisory presence of the adult leaders/chaperones without permission Wear a seatbelt at all times when riding in vehicles for any church event Male/female pairs are not allowed to be alone in a room, on a walk, or in any other capacity without the permission of the supervising adult Prescription and non- prescription medicines should be discussed between a parent and the appropriate adult leader attending the event - Instructions in writing are always preferred No disruptive behavior will be allowed, this includes, but is not limited to fighting, cussing, vandalism, pranks, disrespect of authority, etc. Speech that is inappropriate, crude, sexual in nature, insulting, downgrading, etc. will not be tolerated Provisions are made to satisfy basic first aid needs Permission / Medical Release forms must be on file for each youth in order to attend events and activities Public display of affection (PDA) is not acceptable at any time while on youth group events or activities Dating couples should remember to set a Christian example to everyone - Physical contact should be kept to a minimum - Holding hands and appropriate hugs are the limit of PDA that is allowed of all in the youth group To encourage the growth of relationships and interaction among those in the youth group while traveling, no audio players, video games, and/ or cellular phones will be allowed at any time without the permission of the supervising adult Clothing should be modest at all times - If you have doubts about what you are wearing or taking to wear, it is probably not acceptable No bare anything that is normally covered by clothing will be acceptable at any time. If in doubt, please first check with your parents or if already in attendance at an event or activity, check with an adult chaperone In regards to swimming attire; girls should wear a modest one- piece swimsuit - A tankini is permitted if it covers your body like a one- piece swimsuit would or two piece with a tee shirt over top - Boys should wear modest swim shorts with a tee shirt Playing rough especially in areas of water in not allowed, pushing someone into water or pushing their head under water is NOT allowed, safety should always be of upmost importance. We understand that each family determines what is modest for their youth. However, while on youth group events, there are guidelines that must be followed or the youth will be asked to change clothes or they will not be allowed to participate.

4 WHAT WE EXPECT FROM PARENTS: Support We ask you to help and support us in this ministry. When decisions are made that the youth may not like, please help us by supporting us (knowing that we are making these decisions to help the group as a whole). If there is something that we do that you do not agree with, please come to us personally and share it with us so that we can grow and learn together. Please do not go to someone else and share it with them. You can be assured that we are supporting you and will also come to you with disagreements that may arise. We are making every effort with the youth to help them in the area of gossip and talking about others. We need your help in this as we model this principle to our youth. Feedback Please provide us with any feedback that could be beneficial to us and this ministry as a whole. Let us know of special needs and prayer requests for your youth and your family. Rules & Discipline We need your support and understanding in the enforcement of these guidelines and rules. Please remember that these are in place for reasons that benefit the group as a whole and not necessarily your individual youth. Please also support us in conveying to your youth the importance and Biblical principle of respect to all the adult leaders that help out in this ministry. Problems As unforeseen problems arise, please do not hesitate to contact the AMPED leaders and let us know. We are here for YOU. Communication is a key element to all aspects of life and ministry. We realize that there are things that cannot be helped and situations that must have special attention. Please let us know when those come up. Though the majority of our youths are raised to respect authority and rules and are a joy to be with, there are those occasions when (for a variety of reasons) it becomes necessary to enforce a degree of discipline on certain individuals who are not cooperating. While on an AMPED sponsored event, we ask that all participants understand that we represent Christ first, then our congregation, and our family. We ask that youth conduct themselves in the best possible manner. While in classes, small groups, or participating in events and /or activities we expect youth to behave appropriately and with respect. If a youth is guilty of inappropriate behavior or if they have not adhered to a given rule or guideline, the only recourse is for us to send them home (at the parents inconvenience and / or expense). In these circumstances, we will inform parents of the reasons for the discipline and why the actions were taken.

5 PUNCTUALITY It is important when working with a large group that we get going on time. We will always communicate a time of departure and arrival. This is to help both you as parents and us as ministers / leaders. If your youth is late, they may find that we have already left. We do not wish to leave anyone behind, but we also have reasons for leaving at a designated time. We need your help in this. We also commit to you to be on time ourselves. We will be early to meet the youths and we will make every effort to arrive back at the designated time. If, for some unseen reason, we will not make it back at the designated time, we will communicate to you as soon as possible. While on trips, communication will be available by contacting / calling from the cellular phones of the AMPED leaders. ONE OTHER NOTE: After events we have adult leaders who are tired and ready to go home. Please make sure to be here promptly to pick up your youth to help us out with this. PAYMENT POLICY Honor payment deadlines. Students who have not paid a deposit or the full amount by the stated deadlines will not be allowed to attend the event/activity. Money cannot be recovered if a student drops out after the deadline. SCHOLARSHIP POLICY We recognize that youth events can create a strain on a family s budget, but we don t want the cost of an event to prevent someone from attending an activity. The youth ministry has a scholarship fund to help defray the cost of events, and you can apply for financial help by following the rules and procedures below. 1. Scholarships are given only for youth- group sponsored events & missions. 2. Scholarships are limited by the availability of funds. 3. The person requesting the scholarship will be asked to pay a portion of the total cost. 4. The person needing a scholarship must express their need to the AMPED Youth Ministry leader before the payment deadline for an event. This information will be kept confidential. 5. If the person does not attend the event for which they have received scholarship money, they are responsible for paying back into the Scholarship Fund the full amount received. The AMPED Youth Ministry leader will work with the person to set up a payment plan or work program to pay back the amount owed. INFORMATIONAL NOTES All drivers during youth ministry- related events must be at least 21 years of age with a good driving record. While we understand that older youth may drive themselves to and from events, we will not give any youth permission to ride home with any other youth; this must come from the parents themselves.

6 Epworth United Methodist Church Permission/Media/Medical Waiver Participants Name: PARENT/GUARDIAN AGREEMENT Functions, Activities, Special Events and Field Trips Prior to my participation in activities, I acknowledge that there are certain risks associated with the activities, including, by way of example, physical injury due to activity- related accidents, and physical injury due to transportation- related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware. I give permission for the youth named above to participate in the activities of Epworth United Methodist Church, including any special events/activities. I understand that the youth named above may be participating in local service projects and fellowship events during church youth events. I understand that during this period my youth/ward may take part in activities such as: minor yard work, cleaning, painting, and other activities consistent with the purposes of the church. Release of Liability By signing this Permission/Waiver Form, I expressly warrant that the youth named above is capable of withstanding both the physical and mental demands of the activities discussed above. I also expressly assume all risks of the youth participating in the activities, whether such risks are known or unknown to me at this time. I further release Epworth United Methodist Church and its ministers, leaders, employees, volunteers, and agents from any claim that my youth may have or that I may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall exclude any gross claims of negligence. This release of liability is also intended to cover all claims that members of the youth's or my family, or estate, heirs, representatives, or assigns may have against Epworth United Methodist Church or its ministers, leaders, employees, volunteers, or agents. I further agree to indemnify and hold harmless Epworth United Methodist Church and its ministers, leaders, employees, volunteers, or agents from any and all claims arising from my participation in its activities and programs, or as a result of injury or illness of my youth during such activities. First Aid and Emergency Medical Treatment I recognize that there may be occasions where the youth named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of Epworth United Methodist Church to seek and secure any needed medical attention or treatment for the youth named above, including hospitalization, if in the agent's opinion such need arises. In doing so I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.

7 Media Epworth United Methodist Church may post a photograph and/or video of my youth on the church s website or use a photograph of my youth in their publications. I understand that photos will not be labeled with names. Possible Expenses If it becomes necessary for my youth to be sent home early from an event, this will be done at my own expense. I understand that my youth s continued participation in church activities depends on my youth s support of this agreement. I represent that I am the parent/guardian of and I have read the above Permission/Waiver Form and am fully familiar with the contents thereof and I acknowledge that I have read and understood the AMPED Guidelines/Policies. I give permission for the youth named above to participate in the activities of EPWORTH UNITED METHODIST CHURCH, including any special events/activities described above. In consideration for allowing the participation of the youth in the activities of Epworth United Methodist Church, I hereby consent to the Permission/Waiver Form, including the Release of Liability above, on behalf of the youth, and agree that this Permission/Waiver Form shall be binding upon me, my family, heirs, legal representatives, successors, and assigns. Signature of Parent/Guardian Date Print Name YOUTH S AGREEMENT I agree to participate in the functions and activities of Epworth United Methodist Church, to cooperate with the leaders and other young people, and to conduct myself as a Christian. I promise to respect God, respect myself, respect other persons, and respect property. If it becomes necessary for me to be sent home early from an event, this will be done at my parents/ guardians expense. I understand that my continued participation in church activities depends on my support of this agreement. I acknowledge that I have read and understood the AMPED Guidelines/Policies, and I agree to carefully abide by them. Signature of Youth Date Print Name

Thalia Lynn Baptist Church

Thalia Lynn Baptist Church Thalia Lynn Baptist Church Student Ministry Expectations and Guidelines Expectations and guidelines can be quite ambiguous in many areas of life. Therefore, we believe that it is important to make it known

More information

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes)

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes) Robert D. Fowler Family YMCA Middle School Enrichment Program Student Registration Form 2015-16 Ivy Prep Academy Program Hours: 7am-7:45am & 4pm-7pm Transportation AM: Group leaves at 7:30am Transportation

More information

Big House 2015. Cost for the Trip $125 if turned in by March 29th $150 if turned in by April 26th $175 if still space in the camp after April 26th

Big House 2015. Cost for the Trip $125 if turned in by March 29th $150 if turned in by April 26th $175 if still space in the camp after April 26th Cost for the Trip $125 if turned in by March 29th $150 if turned in by April 26th $175 if still space in the camp after April 26th Big House 2015 June 11-14 Bellville, TX Big House is a summer mission

More information

Hope s Youth Ministry High School Retreat

Hope s Youth Ministry High School Retreat Hope s Youth Ministry High School Retreat March 6-8, 2015 Pocono Plateau Cresco, PA Hope s Youth Ministry PO BOX 914, 700 Cooper Rd. Voorhees, NJ 08043 Questions or for further information: dave@meethope.org

More information

LIABILITY RELEASE. Walk on Water Ministries 3330 Perkinson Lane Merritt Island, FL 32953 (321) 412-8057 Praisedancer.bryan426@gmail.

LIABILITY RELEASE. Walk on Water Ministries 3330 Perkinson Lane Merritt Island, FL 32953 (321) 412-8057 Praisedancer.bryan426@gmail. Walk on Water Ministries 3330 Perkinson Lane Merritt Island, FL 32953 (321) 412-8057 Praisedancer.bryan426@gmail.com LIABILITY RELEASE In consideration of being allowed to participate in horseback riding

More information

Eastern Region Youth Consultant Salem, Virginia 24153 jaharden@comcast.net 540 375-3191

Eastern Region Youth Consultant Salem, Virginia 24153 jaharden@comcast.net 540 375-3191 UNITY WORLDWIDE MINISTRIES EASTERN REGION Jane Harden 1865 Laurel Mountain Dr Eastern Region Youth Consultant Salem, Virginia 24153 jaharden@comcast.net 540 375-3191 December 16, 2014 Dear Y.O.U. Sponsors,

More information

Archdiocese of Mobile Office of Youth Ministry March for Life Pilgrimage 2016

Archdiocese of Mobile Office of Youth Ministry March for Life Pilgrimage 2016 Archdiocese of Mobile Office of Youth Ministry March for Life Pilgrimage 2016 Pope Francis once stated, Human dignity is the same for all human beings: when I trample on the dignity of another, I am trampling

More information

Youth Ministry Volunteer Staff: Application Background Check Guidelines

Youth Ministry Volunteer Staff: Application Background Check Guidelines S T. M ARK S LU THERAN C H U RCH Youth Ministry Volunteer Staff: Application Background Check Guidelines This application is to be completed by all Youth Ministry staff and volunteers. It is part of our

More information

MINISTRY CENTER PURPOSE AND POLICIES Piney Grove Baptist Church Fortson, Georgia

MINISTRY CENTER PURPOSE AND POLICIES Piney Grove Baptist Church Fortson, Georgia MINISTRY CENTER PURPOSE AND POLICIES Piney Grove Baptist Church Fortson, Georgia PURPOSES: The purpose of the Piney Grove Baptist Church Ministry Center will be consistent with the church s purpose and

More information

2015 FUMC Hurst Youth Missions: SAN ANTONIO Permission, Liability Waiver, and Medical Release Form

2015 FUMC Hurst Youth Missions: SAN ANTONIO Permission, Liability Waiver, and Medical Release Form Permission, Liability Waiver, and Medical Release Form I give permission to participate in activities of the Youth or Children s Division of the First United Methodist Church, Hurst, Texas for the dates

More information

REGISTRATION FORMS. Child s Full Name: Birth Date: / / Boy Girl. Child s Full Name: Birth Date: / / Boy Girl

REGISTRATION FORMS. Child s Full Name: Birth Date: / / Boy Girl. Child s Full Name: Birth Date: / / Boy Girl REGISTRATION FORMS Child s Full Name: Birth Date: / / Boy Girl Child s Full Name: Birth Date: / / Boy Girl Child s Full Name: Birth Date: / / Boy Girl Address: City: State: Zip Code: Child #1 Days of the

More information

Student Leadership Application

Student Leadership Application Student Leadership Application Youth Ministry Purpose Statement: Our purpose is to share the TRUTH by building RELATIONSHIPS and using our GIFTS to SERVE God. Through God s grace we will continue to grow

More information

For high school teens Time to escape and just BE U BE with God BE loved by God BE forgiven by God BE changed Be with Friends (and make new ones)

For high school teens Time to escape and just BE U BE with God BE loved by God BE forgiven by God BE changed Be with Friends (and make new ones) What: For high school teens Time to escape and just BE U BE with God BE loved by God BE forgiven by God BE changed Be with Friends (and make new ones) Where: Cuyahoga Valley Environmental Education Center

More information

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT TOWN OF POUGHKEEPSIE POLICE DEPARTMENT INFORMATION PACKET OVERVIEW The Town of Poughkeepsie Police Department is seeking to provide an innovative program for youth residing in the Town of Poughkeepsie.

More information

Southeast Unity Youth Ministry Minister Endorsement Form

Southeast Unity Youth Ministry Minister Endorsement Form Minister Endorsement Form Program: UNITEENS Retreat Lock-In List all Youth and Adults below who are attending this SE Unity Youth Event. Once submitted, substitutions and additions must be approved by

More information

Lake Burton Day Camp For Boys and Girls Ages 6-9

Lake Burton Day Camp For Boys and Girls Ages 6-9 Lake Burton Day Camp For Boys and Girls Ages 6-9 Dear Day Camp Parent- In this handbook, we want to acquaint you with the procedures and practices of our YMCA summer camp programs. Thank you for enrolling

More information

OKLAHOMA SCHOOL FOR THE DEAF DEAF AND HARD OF HEARING SUMMER CAMP HIGH SCHOOL JUNE 14-19, 2015 ELEMENTARY SCHOOL JUNE 21-24, 2015 REGISTRATION DAY

OKLAHOMA SCHOOL FOR THE DEAF DEAF AND HARD OF HEARING SUMMER CAMP HIGH SCHOOL JUNE 14-19, 2015 ELEMENTARY SCHOOL JUNE 21-24, 2015 REGISTRATION DAY OKLAHOMA SCHOOL FOR THE DEAF DEAF AND HARD OF HEARING SUMMER CAMP HIGH SCHOOL JUNE 14-19, 2015 ELEMENTARY SCHOOL JUNE 21-24, 2015 REGISTRATION DAY WHEN: JUNE 14 th (High School) JUNE 21 nd (Elementary)

More information

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program!

Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! Greetings! Thank you for your interest in the Illinois Association for College Admission Counseling s 2015 CAMP COLLEGE program! These waiver forms must be completed and submitted in order for your application

More information

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING The undersigned, in consideration of being permitted to participate

More information

St. Agnes Children s Faith Formation Program Family Handbook

St. Agnes Children s Faith Formation Program Family Handbook St. Agnes Children s Faith Formation Program Family Handbook St Agnes Catholic Community 1025 Masonic Ave. San Francisco, CA 94117 www.saintagnessf.com (415)487-8560, Fax (415)487-8575 TABLE OF CONTENTS

More information

Landmark Youth Ministry

Landmark Youth Ministry Landmark Youth Ministry 334.277.5800 www.firehouseministry.org Dear Interested LYM Volunteer, Thank you so much for your interest in becoming a volunteer with the Landmark Youth Ministry! God is doing

More information

THE PRESENCE KALAMAZOO February 26, 27, 28

THE PRESENCE KALAMAZOO February 26, 27, 28 THE PRESENCE KALAMAZOO February 26, 27, 28 WELCOME High School students grades 9th - 12th Chaperones Volunteers COST $80 per person Registration closes February 10. No late registration excepted after

More information

camp rules/behavior agreement

camp rules/behavior agreement camp rules/behavior agreement Lake Metroparks camps use assertive discipline techniques that are used to strengthen good behavior by the use of positive reinforcement such as verbal praise, smiles, awards,

More information

Annual Field Trip Forms

Annual Field Trip Forms Annual Field Trip Forms Dear Parents: We are excited about the field trips planned for this year. They have a significant role in your child s education. In an effort to provide safe field trips for your

More information

Dear Parent(s) and Teen,

Dear Parent(s) and Teen, Dear Parent(s) and Teen, Let me take this opportunity and welcome you to the 4.12 Youth Ministry program. I also wanted to take this opportunity to give you some information about 4.12 Ministries and our

More information

Children s Camp Counselor Certification Course. MidSouth District Church of the Nazarene

Children s Camp Counselor Certification Course. MidSouth District Church of the Nazarene Children s Camp Counselor Certification Course MidSouth District Church of the Nazarene Please read the following information carefully. When finished, complete the Certification Agreement at the end and

More information

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we

More information

Youth Camp Civic Center

Youth Camp Civic Center Youth Camp Civic Center Household ID # Please circle the session(s) that your child(ren) will attend Session One June 8- June 12 Session Two June 15 June 19 Session Three June 22 June 26 Session Four June

More information

Rahab s Rope Application Instructions:

Rahab s Rope Application Instructions: We are so excited to have you join our work in India. The first step in the process for any volunteer is to fill out the following application in full. Rahab s Rope Application Instructions: Complete the

More information

CRAVE Student Ministry Volunteer Leadership Covenant

CRAVE Student Ministry Volunteer Leadership Covenant CRAVE Student Ministry Volunteer Leadership Covenant You then, my son [and daughters], be strong in the grace that is in Christ Jesus. And the things you have heard me say in the presence of many witnesses

More information

Mizoram Bible College

Mizoram Bible College APPLICATION FORM (Every question must be answered) The course applied for: Affix your recent passport (1) B.Th [ ] (2) Dip.Th [ ] (3) C.Th [ ] size photograph I. PERSONAL DETAILS 1. Name in Full (Use Block

More information

Motorcycle RiderCourse WAIVERS

Motorcycle RiderCourse WAIVERS Motorcycle RiderCourse WAIVERS General Instructions All pages must be completed and signed. If you have any questions, call (231) 591-5819. Mail completed forms to: Motorcycle Rider Courses, Ferris State

More information

Application for Admission 2016 Disciples Days July 9-16, 2016

Application for Admission 2016 Disciples Days July 9-16, 2016 Application for Admission 2016 Disciples Days July 9-16, 2016 Disciples Days is seeking mature Christian youth who have: A passion for God, spiritual growth, and A capacity to interact effectively with

More information

2014/15 SY Membership Enrollment Form

2014/15 SY Membership Enrollment Form Member s Name: For Office Use Only BGC # Location: WG BC BTC Amount Rec d Payment Type: Check/Money Order # Accepted By: Start Date: Date entered into membership database Scholarship? Scholarship Amount

More information

Sacred Heart Catholic Church Faith Formation Registration Form 2015-2016 Catechetical Year

Sacred Heart Catholic Church Faith Formation Registration Form 2015-2016 Catechetical Year Sacred Heart Catholic Church Faith Formation Registration Form 2015-2016 Catechetical Year DATE RECEIVED: BAPTISMAL RECORD RECEIVED MEDICAL/PHOTO RELEASE COMMITMENT FORM REGISTRATION PAID $ Cash Check

More information

CONTRACT FOR PRIVATE MUSIC INSTRUCTION

CONTRACT FOR PRIVATE MUSIC INSTRUCTION CONTRACT FOR PRIVATE MUSIC INSTRUCTION I. GENERAL CONDITIONS i. Lessons will be offered over the academic year in each of the instruments for which the student is registered. Students will be scheduled

More information

Youth Ministry Registration Form. Please complete this form for all children participating in children s ministry.

Youth Ministry Registration Form. Please complete this form for all children participating in children s ministry. Youth Ministry Registration Form Please complete this form for all children participating in children s ministry. Last Name First Name DOB Male or Female Parent(s)/Guardian(s): Street Address: City: State:

More information

Teen Academy one week program no cost June 22 to June 26, and July 20 to July 24

Teen Academy one week program no cost June 22 to June 26, and July 20 to July 24 Teen Academy The Teen Academy is a one week program designed to give the teens of Rowlett a working knowledge of the Rowlett Police Department. There is no cost to anyone who enrolls. The classes will

More information

Youth Programs Registration Form Summer of Service (SOS) 2015

Youth Programs Registration Form Summer of Service (SOS) 2015 Youth Programs Registration Form Summer of Service (SOS) 2015 Participant s Information PHONE GENDER: FEMALE OF BIRTH SCHOOL GRADE IN FALL 2015 MALE ETHNIC BACKGROUND AFRICAN ASIAN INDIAN LATINO NATIVE

More information

GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR

GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR GLOBAL TECH ACADEMY INC. AFTERSCHOOL ENRICHMENT PROGRAM REGISTRATION PACKET FOR 2015-2016 SCHOOL YEAR Welcome Child s Enrollment Form Parent Pick-Up Authorization Emergency Information, Waiver & Medical

More information

MINISTRY INTERN PROGRAM Northstar Church Blacksburg, VA

MINISTRY INTERN PROGRAM Northstar Church Blacksburg, VA MINISTRY INTERN PROGRAM Northstar Church Blacksburg, VA I. PURPOSE The purpose for the Intern Program is two-fold. Individuals are afforded an opportunity to work alongside the staff in the coordination

More information

King s Derby Registration Form

King s Derby Registration Form Thank you for choosing to enter OBIC s where over $4000 in Cash and prizes will be given away!! It is our heart to be able to offer our services to children and special needs individuals at no cost. Currently

More information

Community House High School Programs Standing with families since 1969

Community House High School Programs Standing with families since 1969 Dear Parents/Guardians, Founded in 1969, Community House is devoted to standing with Princeton families by providing tools for academic success and social- emotional wellness through programs that bolster

More information

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC Registration Packet Summer Academy June 3 rd to August 30 th Z M G www.zmgtennis.com HP and TTT Registration Form 1, LLC Enrolment Process prides its self on offering everything essential in the development

More information

Christ s Grace compels us to RISK ALL, LOVE ALL to make His name great.

Christ s Grace compels us to RISK ALL, LOVE ALL to make His name great. Prospective Youth Leader Letter MDPC Youth Ministry Volunteer Application Driver s Application Volunteer Adult Youth Leader Release Form Copy of Driver s License Copy of Car Insurance Copy of Medical Insurance

More information

Member Code of Conduct

Member Code of Conduct Registration Packet At the Best Buy Teen Tech Center, youth pursue their interests and use new technologies with help from other teens and adult mentors. Then, they can share their work with peers across

More information

Youth Ministry Handbook for Keltys First Baptist Church

Youth Ministry Handbook for Keltys First Baptist Church Youth Ministry Handbook for Keltys First Baptist Church I. The Ministry s Purpose and Function II. Policy on Adult Dream Team III. Policy on Youth Leadership Team IV. Policy on Youth Outings and Trips

More information

Eighth Graders Israel Experience May 7-19- 2014 APPLICATION

Eighth Graders Israel Experience May 7-19- 2014 APPLICATION please attach photo Part I: Applicant Information Eighth Graders Israel Experience May 7-19- 2014 APPLICATION Applicant's name (As appears on passport) Last first middle what do you want to be called?

More information

Welcome to the Kroc Center Chicago Summer Day Camp Programs!

Welcome to the Kroc Center Chicago Summer Day Camp Programs! Summer 2015 Welcome to the Kroc Center Chicago Summer Day Camp Programs! If this is your first camp experience, you and your family are about to embark on an exciting and new adventure. If your family

More information

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Participant Last Name: Participant First Name: Grade: Age: Gender: Male

More information

2015-2016. Athletic Director: Mrs. Allison Girmai. Principal: Mrs. Judi Smith. MS Vice Principal: Ms. Susan Olson

2015-2016. Athletic Director: Mrs. Allison Girmai. Principal: Mrs. Judi Smith. MS Vice Principal: Ms. Susan Olson 2015-2016 Athletic Director: Mrs. Allison Girmai Principal: Mrs. Judi Smith MS Vice Principal: Ms. Susan Olson 7400 SW Sagert St. * Tualatin, OR 97062 * (503) 692-9312 - 1 - ~ Introduction ~ The athletic

More information

Hours of Operation Monday Thursday 5 to 8 p.m.

Hours of Operation Monday Thursday 5 to 8 p.m. The Jerry Ortiz Memorial Boxing & Youth Fitness Gym is dedicated to enriching the quality of life for children and at-risk youth in the San Gabriel Valley area by promoting physical activity and good sportsmanship

More information

Compass Road to College Summer Tour Application

Compass Road to College Summer Tour Application Compass Road to College Summer Tour Application Student Information Name: Email Address: Sex: F M Birth Date: Primary Language Spoken at Home: English Spanish Other: Current School: School You ll be Attending

More information

Austin Community College Study Abroad Application Packet Scotland May 2006 APPLICATION COVER PAGE and CHECK LIST

Austin Community College Study Abroad Application Packet Scotland May 2006 APPLICATION COVER PAGE and CHECK LIST APPLICATION COVER PAGE and CHECK LIST Student Name Program Name: BUSG 1191 International Study Tour Departure Date: May 13, 2006 Return Date: May 21, 2006 Faculty Leaders: Fred Baird Destination Countries:

More information

Northshore Disaster Recovery Disaster Recovery Ministries 360 Robert Blvd. / Asbury Building; Slidell, LA 70458 985-781-7990 Fax 985-645-9074

Northshore Disaster Recovery Disaster Recovery Ministries 360 Robert Blvd. / Asbury Building; Slidell, LA 70458 985-781-7990 Fax 985-645-9074 360 Robert Blvd. / Asbury Building; Slidell, LA 70458 985-781-7990 Fax 985-645-9074 A COVENANT FOR SUCCESS We are privileged to have the opportunity to serve our great God by being volunteers in mission.

More information

Daily Homework Help Time Outdoor Games Warm & Caring Environment Friendly & Qualified Staff Theme-Based Curriculum Arts & Crafts

Daily Homework Help Time Outdoor Games Warm & Caring Environment Friendly & Qualified Staff Theme-Based Curriculum Arts & Crafts GENERAL INFORMATION AFTER SCHOOL 2015-16 After School Programs are provided for youth who attend school in the Town of Amherst. The program operates Monday Friday from 2:00-5:30pm. An Extended Afternoon

More information

Application for Admission

Application for Admission Application for Admission Application Checklist All applicants must submit the following to complete the application process: $35 Application Fee Photograph Pastoral Recommendation Personal Recommendation

More information

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition.

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition. California Polytechnic State University, Pomona Vietnamese Student Association Family. Honor. Tradition. ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM Name of Activity or Event: CAL POLY POMONA VSA WINTER

More information

Mission Statement. Participant Guidelines

Mission Statement. Participant Guidelines Mission Statement The Hoover Boxing Program's mission is to provide Hoover Middle School students a structured and positive environment where kids can remain active and safe during unstructured hours such

More information

Children/Youth Workers Application

Children/Youth Workers Application Children/Youth Workers Application Thank you for your interest in working with our children or youth in the Children/Youth Ministries. Please read the enclosed information carefully and complete: After

More information

Race Guide. Seattle. Packet Pick-Up. Be Happy. Be Healthy. Be You. Welcome to The Color Run! Seattle Center Pavillion 305 Thomas St Seattle, WA 98109

Race Guide. Seattle. Packet Pick-Up. Be Happy. Be Healthy. Be You. Welcome to The Color Run! Seattle Center Pavillion 305 Thomas St Seattle, WA 98109 Be Happy. Be Healthy. Be You. Race Guide Seattle Welcome to The Color Run! Thanks to you and 7,500 of your newest friends for making The Color Run one of America s biggest 5k events! We have made this

More information

Registration is from 9 a.m. on Friday May 23 rd at the Baltimore Arena, Baltimore

Registration is from 9 a.m. on Friday May 23 rd at the Baltimore Arena, Baltimore YYAC (Younger Teens) at Conference For youth in Grades 6,7 &8 Conference Annual Meeting Baltimore Arena, Baltimore Friday May 23 rd Sunday May 25 th, 2014 Information and Registration Form What s in it

More information

Registration is from 9 a.m. on Friday May 24 th at Lady Eaton College, Trent University

Registration is from 9 a.m. on Friday May 24 th at Lady Eaton College, Trent University YYAC (Younger Teens) at Conference For youth in Grades 6,7 &8 Conference Annual Meeting Trent University Peterborough, ON Friday May 24 th Sunday May 26 th, 2013 Information and Registration Form What

More information

Amnesty International - Requirements For 2015 Regional Conferences

Amnesty International - Requirements For 2015 Regional Conferences Amnesty International USA sponsors special enrichment events for youth leaders as a means of providing a comprehensive and diverse learning environment to further their understanding of and participation

More information

Field Trip, Offsite Tutoring and Transportation Policy

Field Trip, Offsite Tutoring and Transportation Policy Field Trip, Offsite Tutoring and Transportation Policy This policy is intended to protect the safety of School on Wheels, Inc. (SOW) students and volunteers while participating in field trips, offsite

More information

Winter Camp 2015 Church Registration Instructions and Policies

Winter Camp 2015 Church Registration Instructions and Policies Winter Camp 2015 Church Registration Instructions and Policies Registration Instructions: 1) Choose your weekend(s). Prayerfully consider which available weekend is the best for your church. Bring your

More information

COLE COMMUNITY CHURCH YOUTH MINISTRY VOLUNTEER APPLICATION

COLE COMMUNITY CHURCH YOUTH MINISTRY VOLUNTEER APPLICATION COLE COMMUNITY CHURCH This application is to be completed by all workers who are seeking a volunteer ministry position at Cole Community Church. This is not an employment application form. It is first,

More information

PRECOLLEGE PERSPECTIVE 2015 RELEASE, WAIVER AND INDEMINIFICATION

PRECOLLEGE PERSPECTIVE 2015 RELEASE, WAIVER AND INDEMINIFICATION PRECOLLEGE PERSPECTIVE 2015 RELEASE, WAIVER AND INDEMINIFICATION Ringling College of Art and Design requires all PreCollege Perspective participants to sign a Release, Waiver and Indemnification Agreement.

More information

Bartow County C.E.R.T.

Bartow County C.E.R.T. Dear Applicant, I would like to take this opportunity to thank you for your interest in the Community Emergency Response Team. The CERT Program is presented by the Bartow County Emergency Management Agency

More information

CONTRACT FOR PHOTOGRAPHIC SERVICES

CONTRACT FOR PHOTOGRAPHIC SERVICES Client Name: Date: CONTRACT FOR PHOTOGRAPHIC SERVICES It is understood that Velvet Lotus Photography (Photographer) is the exclusive, official photographer retained to perform photographic services requested

More information

SOUTHWEST OHIO INLINE HOCKEY PLAYER DOCUMENTATION COVERSHEET

SOUTHWEST OHIO INLINE HOCKEY PLAYER DOCUMENTATION COVERSHEET SOUTHWEST OHIO INLINE HOCKEY PLAYER DOCUMENTATION COVERSHEET School / Team: Name: Address: City, State, Zip: Home Phone: Cell Phone: Email: (please circle your responses) Do you attend the above named

More information

SUPPLEMENT XII CONGREGATIONAL SELF ANALYSIS

SUPPLEMENT XII CONGREGATIONAL SELF ANALYSIS SUPPLEMENT XII CONGREGATIONAL SELF ANALYSIS The following are sample questions that may be used in a congregational self-analysis. They may be used to survey the entire congregation. Please be aware also

More information

2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES

2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES 2016 FLORISSANT SUMMER PLAYGROUND INFORMATION AND POLICIES CAMP LOCATIONS CAMP DATES/TIMES June 6 July 15, 2016 James J. Eagan Center (300) 9:00am 3:00pm Koch Park (320) No camp July 4th All Prices Subject

More information

West Virginia University 2015 Forensic Science Summer Camp

West Virginia University 2015 Forensic Science Summer Camp Thank you for registering for the! This packet contains the following forms that must be completed and returned before the student will be allowed to attend camp: Participant Information Form Event Participant

More information

MOUNTLAKE TERRACE POLICE DEPARTMENT GUEST RIDE-ALONG POLICY AND APPLICATION

MOUNTLAKE TERRACE POLICE DEPARTMENT GUEST RIDE-ALONG POLICY AND APPLICATION MOUNTLAKE TERRACE POLICE DEPARTMENT GUEST RIDE-ALONG POLICY AND APPLICATION In keeping with its commitment to community policing, the Mountlake Terrace Police Department offers qualified persons the opportunity

More information

Ephesians 4:1. And I will answer this call.

Ephesians 4:1. And I will answer this call. Covenant: To be a Peer Minister is to Live a life worthy of the call you have been given Ephesians 4:1 I believe that I have been called by God. I have been called to know Him, to love Him, to serve Him.

More information

Youth Leader. Application

Youth Leader. Application Youth Leader Application Adult Youth Leader To assist in the operations of youth services and in providing a consistent weekend service that will capture the youth s attention and challenge them to become

More information

St. Elizabeth Ann Seton Youth Ministry. Seton Parish Hall 6:30-9:30pm. Admission $10 in addition to Required Forms.

St. Elizabeth Ann Seton Youth Ministry. Seton Parish Hall 6:30-9:30pm. Admission $10 in addition to Required Forms. All information on this form must be complete. Student Name: Age and Grade: / Student s School: Parish: Parent s (Guardian) Name(s) and Phone Number: (where you can be reached during the dance) St. Elizabeth

More information

MIDDLE SCHOOL ENROLLMENT FORM

MIDDLE SCHOOL ENROLLMENT FORM LAST NAME OF FAMILY FATHER NAME ADDRESS MIDDLE SCHOOL ENROLLMENT FORM MOTHER NAME CITY STATE ZIP FATHER PHONE (Cell) MOTHER PHONE (Cell) E-MAIL 1 E-MAIL 2 (Work) (Work) Which email do you prefer? (circle

More information

Registration 2012 Summer (Available 7am - 6pm) Child s Full Name: Name Used: Date of Birth: Gender: Grade: Full Address:

Registration 2012 Summer (Available 7am - 6pm) Child s Full Name: Name Used: Date of Birth: Gender: Grade: Full Address: ZION CHRISTIAN CHILDREN S CENTER SCHOOL AGE SUMMER CAMP Zion United Methodist Church ~ 1674 Zion Road Troy, VA 22974 (434) 906-5494 ~ ZionUMCAfterschool@gmail.com Registration 2012 Summer (Available 7am

More information

Santa Monica College Administrative Regulation - Students Activities and Student Conduct

Santa Monica College Administrative Regulation - Students Activities and Student Conduct Santa Monica College Administrative Regulation - Students Activities and Student Conduct (AR5319-091481) Extracurricular Trips Arrangements for trips by clubs and other non-athletic extracurricular activity

More information

BOTH HANDS PROJECT APPLICATION

BOTH HANDS PROJECT APPLICATION BOTH HANDS PROJECT APPLICATION Contact Info Full Name (husband): Date of Birth: Full Name (wife): Date of Birth: Preferred nicknames: Date of Marriage: Street Unit #: City State Zip Home Phone: Work Phone:

More information

Garrett Middle School Athletic Handbook 2015-16

Garrett Middle School Athletic Handbook 2015-16 Garrett Middle School Athletic Handbook 2015-16 1 Athletic Department Philosophy It is the intent of Garrett Middle School to encourage and allow athletic participation while maintaining academic integrity

More information

*Registration* *Permission Form* *Student Essay* *Covenant*

*Registration* *Permission Form* *Student Essay* *Covenant* 2015-2016 1 st YEAR CONFIRMATION REGISTRATION PACKET *Registration* *Permission Form* *Student Essay* *Covenant* Student full name: Address: Birth Date: Date of Baptism: Place (Town, State) Place (Church)

More information

Wilderness First Aid. Basler Center for Physical Activitiy. Saturday Feb. 25 - Sunday Feb. 26. Non Credit Instruction. Wilderness First Aid

Wilderness First Aid. Basler Center for Physical Activitiy. Saturday Feb. 25 - Sunday Feb. 26. Non Credit Instruction. Wilderness First Aid Non Credit Instruction Saturday Feb. 25 - Sunday Feb. 26 Wilderness First Aid Offered at ETSU through Landmark Learning. Saturday Feb. 25 through Sunday Feb. 26 8 a.m 5 p.m. Wilderness First Aid $125 ETSU

More information

Math + Leadership Camp at CSUSM Registration Forms

Math + Leadership Camp at CSUSM Registration Forms Math + Leadership Camp at CSUSM Registration Forms CONTACT INFORMATION Math for America San Diego Email: sandiego@mathforamerica.org Phone: 858-822-6284 Registration Checklist Complete all sections of

More information

Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com

Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com From the Airport: Take I-465 north to exit 16A. Turn right at the top of the exit

More information

Backcountry Outdoor Adventure Camp

Backcountry Outdoor Adventure Camp Backcountry Outdoor Adventure Camp Get outdoors. Connect with nature. Focused on combining a passion for biology, conservation, and ecology with outdoor recreation. Registration Packet is due by: Registration

More information

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour.

STEPS TO ADMISSION We recommend that interested parents schedule a campus tour. So the generations to come might know Him Psalm 78:4 STEPS TO ADMISSION We recommend that interested parents schedule a campus tour. Application Process 1. Complete and return the application with the

More information

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms All forms and payment are due no later than June 15, 2015 Note: There is a $25 non-refundable registration fee, and no refunds

More information

Serving the Lord and loving His kids! Pastor Marjorie Bailey Pastor DeVona Cordell Pastor Judy Carney

Serving the Lord and loving His kids! Pastor Marjorie Bailey Pastor DeVona Cordell Pastor Judy Carney Campers, Parents & Church Leaders! We are SO EXCITED about Children s/pre-teen Camp. This year our theme is Turn It Up!!! Every kid loves a good story, whether it s a book, a movie, or a video game. So

More information

STUDENT MINISTRY. Student Leadership Team. Brochure & Application. Parkside Student Ministry. Parkside Baptist Church 301 N. Lillis Denison, TX 75020

STUDENT MINISTRY. Student Leadership Team. Brochure & Application. Parkside Student Ministry. Parkside Baptist Church 301 N. Lillis Denison, TX 75020 STUDENT MINISTRY Student Leadership Team Brochure & Application Parkside Student Ministry Parkside Baptist Church 301 N. Lillis Denison, TX 75020 Student Leadership Team Brochure & Application Howdy! I

More information

Current 7th graders. July 20-24, 2015. Engage: Service with Christ In Youth to St. Louis, MO

Current 7th graders. July 20-24, 2015. Engage: Service with Christ In Youth to St. Louis, MO One of the core values for the Student Ministry at Christ s Church, is to teach our students what it means to provide service to the hurting, broken, and lost, so the name of Jesus will be made known and

More information

J UNE 15 - AUGUST 7 GRADES (going into) HEADSTART - 7th grade

J UNE 15 - AUGUST 7 GRADES (going into) HEADSTART - 7th grade J UNE 15 - AUGUST 7 GRADES (going into) HEADSTART - 7th grade Our day camp offers structured activities from 8:00 a.m. to 5:00 p.m., 5 days a week for an eight-week program, all at one low price. Children

More information

NORTHWEST PARK & NATURE CENTER Junior Counselor Certification Program 2015

NORTHWEST PARK & NATURE CENTER Junior Counselor Certification Program 2015 Junior Counselor Certification Program 2015 The Junior Counselor Certification Program (JCCP) is a pre-counselor training program for youth ages 14-17, which focus upon gaining the skills necessary to

More information

www.hollandcollege.com/bootcamps

www.hollandcollege.com/bootcamps www.hollandcollege.com/bootcamps Dear Braiding our Resources 2012 Participant, Welcome to The Culinary Institute of Canada s Customized Culinary Boot Camp for Early Childhood Development! We are delighted

More information

Tipton County Public Library Volunteer Program Policy

Tipton County Public Library Volunteer Program Policy Volunteer Program Policy Purpose The library Volunteer Program is designed to provide enrichment of the library s mission and programs. Volunteers do not replace paid staff; rather, they support the services

More information

Return COMPLETED Packet to Confirm Singer s Registration Registration Fee: Grades 2 3, $35 Grades 4 12, $40 MET Singers Season: August 2014 May 2015

Return COMPLETED Packet to Confirm Singer s Registration Registration Fee: Grades 2 3, $35 Grades 4 12, $40 MET Singers Season: August 2014 May 2015 The MET Singers, All Things Choral A program of Choral Arts Link, Inc Registration Packet 2014-2015 Return COMPLETED Packet to Confirm Singer s Registration Registration Fee: Grades 2 3, $35 Grades 4 12,

More information

Address: Street City State Zip Code Home Phone: E-mail Address:

Address: Street City State Zip Code Home Phone: E-mail Address: SANDWICH CUSD #430 REGISTRATION FORM SCHOOL YEAR 2013-2014 SELECT AN ATTENDANCE CENTER LG Haskin Prairie View WW Woodbury HE Dummer Middle School High School 1. NAME: 5. SEX: Male Female Last Name First

More information

HELPING HANDS Medical Missions Application

HELPING HANDS Medical Missions Application Delivering compassionate healthcare and the Gospel to the most needy in the developing world. Application Dear Applicant, Thank you for your interest in., Inc. (HHMM) is an international program designed

More information