Youthwave 2019 Conference Staffs, Pastors & Small Group Leader Registration
Cell Phone Number
T shirt size
Date of Birth
Please select your current status.
College - 1st year (Freshman)
College - 2nd year (Sophomore)
College - 3rd year (Junior)
College - 4th year (Senior)
College - 5th year+ (Super Senior)
Church Currently Attending
San Jose Korean Presbyterian Church
Concord Baptist Church
Tri-Valley Presbyterian Church
West Valley Church
Happy Valley Church
Spring Fountain Church
Joyful Church (San Ramon)
If checked "other" please write the name of the church
Please select your area of serving.
[Small Group Leaders] serve small groups of six youth students along with one adult chaperone, being their guide throughout the conference. [Chaperones] support small group leaders in guiding their small groups and ensuring student safety, and specifically stay with students in their rooms throughout the night. Volunteers serve in various capacities and areas in the overall program.
Small Group Leader
Please list an emergency contact number
Name (Relationship), Phone Number
Please list allergies to any food/medicine
If none, write N/A
Name Health Insurance Provider and Policy Number
This Question applies only to Small group leaders: Please list any current or prior leadership/volunteer experiences you've had working with youth.
Please list any special talents/skills you have.
What age group do you prefer to serve/work with?
No preference: (Conference staffs click here)
Reference: Pastor's Name and Email
Name of Pastor, Email
Is there anything you'd like us to know about you?
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