Youth Student Registration 2018 - 2019 (6th - 12th grade)
Student's Name/Nickname/Preferred Name
Birth Date - including birth year.
Grade and Name of School This Fall
Student cell #
Do you text? y/n
What is the best way to get in touch with you?
Mailing Address - including city and zip
Tell us about you! What are your special gifts, talents, or interests?
Parent/Guardian #1 Name and email
Parent/Guardian #1 phone - please indicate if home or cell.
Parent/Guardian #2 Name and email
Parent/Guardian #2 home phone - please indicate if home or cell.
From time to time, we will need parent chaperones for outings or special events. Would you be able to help out?
Would you be available to help out in Sunday School and Youth Group as an adult leader? (NOTE: If you have a child in CRASH!, we would ask you to help out with our eMERGE Youth – and vice-versa.
I give permission and consent for photographs or video footage of my student to be published and used by St Francis Church to illustrate and promote St. Francis Church and/or its ministries. For the safety and security of your student, we will never print your student’s name with his/her photo or video.
What special activities for Crash and/or eMERGE are of interest to you (Youth)?
Maundy Thursday Drama
Dance w/ Mrs. Cantine
Sr. to Sr. Dinner - eMerge prepare & serve special dinner for Sr. members of St. Francis.
Serve at St. Luke's
Skit in church
Hand-bells or other musical contribution
Farm Church (visit to Abundant Table Farm & Worship in Camarillo
Homeboy Industries (Field trip to Homeboy Café/Industries)
Weekend Youth Retreat
Participate in Sunday Worship (Reader, Usher, Acolyte, Chalice Or Musical Offering)
Conversations about God, Faith & Life (Bible Study/Inquiry/Discuss)
Pows & Wows / Teen Talk
Bishop’s Ball (Episcopal Church Dress up Party with DJ)
Games & S’mores (Game nights, fire-pit marshmallows/s’mores)
Diocesan Convention Youth Volunteer (Friday, Nov 30 and Saturday, Dec 1)
Lock-In (Sleepover at the church)
Fun Nights to Invite Friends (like…?)
Christmas Gift Exchange
Life Skills such as:
Do you have any other ideas for youth group?
What would inspire you to invite a friend to church?
Do you have any other ideas for youth group? lease describe below.
What would inspire you to invite a friend to church? Please describe below.
Fun Nights to Invite Friends (like…?) Please describe below.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service