NCYC - Intent To Participate

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PREGISTRATION TO GUARENTEE SPOT:
* Although the event is not until November, this years event is limited to 10,000 total tickets across the nation. Teens will need to register as early as possible to secure a ticket. By mid-May, availability of tickets will likely be drastically less.

$100 NON-REFUNDABLE DEPOSIT IS DUE BY JUNE 1, 2021.

PAY VIA:
* CASH (in envelope addressed to SCYM Elena Pope, 435 E. National Rd. Vandalia, 45377)
* CHECK (made payable to "St. Christopher" with NCYC in the memo field)
* ONLINE GIVING (Within the app/site, click "Give Now" then select "Youth Ministry Program")

PARENT/GUARDIAN NAME GRANTING CONSENT FOR PARTICIPATION (First and Last Name) *

PARENT/GUARDIAN **CELL PHONE** NUMBER *

YOUTH PARTICIPANT NAME (First and Last Name) *

CURRENT GRADE *

8TH (Freshman in the fall)

9TH (Sophomore in the fall)

10TH (Junior in the fall)

11th (Senior in the fall)

IF YOU ARE INTERESTED IN BEING A PARENT CHAPARONE, PLEASE ANSWER:

I am current on my VIRTUS training and have received my COVID vaccinations (required for adult to attend).

I am current on my VIRTUS training and have NOT received my COVID vaccinations, but am willing to.

I am no longer able to access my VIRTUS account (locked out/suspended).

I am NOT VIRTUS certified, but am interested in learning more.

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