West Region SSC 2025 Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Dates: 12/21/2025 (2:00 pm) – 12/26/2025 (2:30 pm)

Check-in: Sunday, 12/21 at 2:00 pm
Location: Irvine Church, CA
Attendees: Students in grades 7 to 12
Registration Deadline: 11/16/25

*Truth Seekers: Please seek approval from the local Church Council and SSC Coordinator first.

Apart from completing this registration form, you will also need to print out and sign the media release and medical consent form.

Directions

1) Please print and fill out the media release and medical consent/liability form

2) Submit the form to your RE Coordinator before 11/16/25

3) Read the SSC General Information Sheet

All SSC participants must submit their media release and medical consent forms in order to attend Winter SSC.

Email *

Record my email address with my response

Name (First & Last Name) *

Church *

Gender *

Male

Female

Grade (As of September 2025) *

Class to attend *

J1 (Grades 7 to 9 )

J2 (Grades 10 to 12)

Have you received Water Baptism? *

Yes

Have you received the Holy Spirit? *

Yes

Can you serve as a pianist? *

Yes

Can you serve as a hymn leader? *

Yes

Do you need English to Chinese interpretation? *

Yes

Do you have any allergies or medical conditions that require special attention? *

Clear form

Never submit passwords through Google Forms.

This form was created inside of True Jesus Church.

Does this form look suspicious? Report