University Synagogue Campus. Living Judaism Program Student Registration Information

Size: px
Start display at page:

Download "University Synagogue Campus. Living Judaism Program Student Registration Information"

Transcription

1 Download this form to your device and you can type your answers into the fields. Save and then to University Synagogue Living Judaism Program Student Registration Information IMPORTANT: Please complete the following information for EACH child: University Synagogue Campus Living Judaism at Home (Please Print) Student s Name: Last First Middle Hebrew Name Male Female Birth Date: / / Enter grade or select class at US: New student to University Synagogue: Yes No Name of Secular School and City: Parent/Guardian Jewish (Work Phone) (Cell Phone) Street City Zip Code Parent/Guardian Jewish (Work Phone) (Cell Phone) Street City Zip Code 1

2 Student s Physician: Student s Dentist: STUDENT MEDICAL Does your child have any allergies or conditions that may require immediate or emergency care? Yes No If yes, please list and describe treatment in the space provided below: Does your child have any medical conditions or take any medication(s)? Yes No If yes, please list and describe in the space provided below: 2

3 EMERGENCY CONTACTS Name: Relationship: Cell/Work Phone: Name: Relationship: Cell/Work Phone: MEDICAL INSURANCE Insurance Company ID Number Policy Number Name of Policy Holder MEDICAL RELEASE AUTHORIZATION In case of an accident or serious illness, I request that University Synagogue contact me immediately. If the school is unable to reach me, I hereby authorize the Living Judaism Program, or its authorized agent, to secure proper treatment for my child. Yes No (Signature of Parent/Guardian) (Date) 3

4 HELP US MEET YOUR CHILD S NEEDS In an effort to provide the best educational experience for your child, please provide any information pertaining to social, physical or emotional issues that may be a factor in the classroom. Please include strengths, talents and interests as well as challenges. ROOM PARENTS Parents who would like to participate in their child s Jewish education by helping to plan holiday, family Shabbat programs and special activities in the Living Judaism Program. Parent Name(s): Yes, I would like to participate as a room parent. Grade WEEKLY LIVING JUDAISM UPDATE FLYERS In an effort to preserve our environment, the University Synagogue Living Judaism Program is doing its part by joining global efforts and going green. Most school information will be sent via on a weekly basis. Please provide current address(s) and also text number(s) where you can receive emergency information. Emergency Text Message Cellphone# Emergency Text Message Cellphone# 4

5 PARENTAL CONSENT / DECLINE FOR STUDENT PHOTO RELEASE During the school year special events and class activities at the US Living Judaism Program are illustrated in the local newspapers and magazines. We also use student photos in our school curriculum when communicating to other students across the globe in our grade level pen pals program. The US Living Judaism Program requires parental permission in order to use photos that include your child with any school or classroom publicity. CONSENT I, give University Synagogue Living Judaism (Parent s Name) permission to use photos of class or activity/special events that include my child for publication or curriculum purposes during the school year. (Parent s Signature) (Date) DECLINE I, decline University Synagogue Living Judaism (Parent s Name) to use photos of class or activity/special events that include my child for publication or curriculum purposes during the school year. (Parent s Signature) (Date) 5

6 Previous Religious Educational Settings You have my permission to contact any previous Religious School settings where our child has been enrolled. Any such information provided to us is kept strictly confidential and is used solely for the purpose of determining the best placement and setting for the child. Yes No (Check appropriate) (Parent Signature) Name of Previous Facility: Contact Person: Dates attended: Professional Service Providers You have my permission to contact current or previous professional service providers for our child (for example, speech therapist, physician, physical therapist). Any such information provided to us is kept strictly confidential and is used solely for the purpose of determining how best to serve the child s needs while the child is enrolled and attends the Living Judaism Program. Parent(s) will be notified prior to contact. Yes No (Check appropriate) (Parent Signature) Name of Previous Facility: Contact Person: Dates attended: Parent Name Date 6

7 University Synagogue Living Judaism Program Waiver, Release and Medical Authorization I hereby give permission for my child to participate in events located at University Synagogue Irvine or off site activities through the Synagogue, CA during the school year. I, the undersigned parent/guardian/legal representative hereby release and discharge University Synagogue, its officers, employees, agents and servants (herein collectively University Synagogue ) from any and all liability arising out of or in connection with the above event. Liability means all claims, demands, losses, causes of action, suits, damages, or judgments of any and every kind that I and my child, our heirs, executors, administrators or assignees may have against University Synagogue because of any death, personal injury or illness, or because of any loss or damage, including loss to property that occurs during the above nature walk activity and that results from any cause other than the direct negligence of University Synagogue. This release applies to any liability my child or I may have a right to claim personally or by and through any other person. In the event of any emergency, I hereby consent to whatever anesthetic, medical, dental or surgical diagnosis or treatment, radiologic study and hospital care from a licensed physician and/or surgeon as deemed necessary for the safety and welfare of my child, consistent with any prior authorizations and medical releases I previously have provided to University Synagogue. I understand that the resulting expenses will be the responsibility of the parent(s) or participant. Name of Parent/Guardian Signature of Parent/Guardian Telephone Number Cellphone Number(s) Health Insurance Company Policy Number Date If your child has special health or pharmaceutical needs or allergies to medication or if there is someone other than the parent who should be contacted in an emergency, please list: 7

Registration Information September May 2019

Registration Information September May 2019 Church of the Resurrection Catechetical Ministry Program 725 Cascade Drive Sunnyvale, CA 94087 (408) 245-5554 Sister Mary Peter, ASSF smp@resparish.org Registration Information September 2018 - May 2019

More information

THE TEMPLE RELIGIOUS SCHOOL

THE TEMPLE RELIGIOUS SCHOOL THE TEMPLE RELIGIOUS SCHOOL May 2015 / Iyar 5775 Dear Parents, I am extremely delighted and excited to share with you the registration materials for the 2015-2016 Religious School year! This year we will

More information

DIOCESE OF CORPUS CHRISTI DIOCESAN CONFIRMATION RETREATS

DIOCESE OF CORPUS CHRISTI DIOCESAN CONFIRMATION RETREATS DIOCESE OF CORPUS CHRISTI 620 Lipan St. Corpus Christi, Texas 78401 Pastoral Parish Services Office of Youth Ministry (361) 882-6191 Fax (361) 693-6737 www.diocesecc.org/youth YouthOffice@diocesecc.org

More information

WELCOME PACKET. Purpose Statement Vision Schedule of Events Permission Form Code of Conduct

WELCOME PACKET. Purpose Statement Vision Schedule of Events Permission Form Code of Conduct WELCOME PACKET Purpose Statement Vision Schedule of Events Permission Form Code of Conduct Welcome to Faith Baptist Church Youth Ministry Faith Student Ministries Purpose Statement The purpose of Faith

More information

St. John the Evangelist Catholic Church

St. John the Evangelist Catholic Church St. John the Evangelist Catholic Church Office of Youth Ministry Phone: 239-566-8740, ext. 177 625 111 th Ave., North Fax: 239-566-9117 Naples, FL 34108 Email: bill@saintjohntheevangelist.com Youth Ministry

More information

June 25-July 1, 2017

June 25-July 1, 2017 2017 SR. HIGH MISSION TRIP Nashville, TN June 25-July 1, 2017 St. Paul is organizing this mission trip through Group Mission Trips. Group Mission Trips has been providing mission opportunities for 30+

More information

Family Information. Emergency Contact Information 1 st Person (Other than parents/guardians) 2 nd Person (Other than parents/guardians)

Family Information. Emergency Contact Information 1 st Person (Other than parents/guardians) 2 nd Person (Other than parents/guardians) St. Patrick Catholic Church 2018-2019 Faith, Confirmation & Youth Ministry Registration Form 825 7 th Street, Rodeo, CA 94572 (510) 799-4434, (510) 799-5681 fax Website: www.stpatrickrodeo.org ffe@stpatrickrodeo.org

More information

NAME: (First) (Maiden) (Last) MAILING ADDRESS: CITY: STATE: ZIP: CELL PHONE: ( ) ADDRESS:

NAME: (First) (Maiden) (Last) MAILING ADDRESS: CITY: STATE: ZIP: CELL PHONE: ( )  ADDRESS: NAME: (First) (Maiden) (Last) MAILING ADDRESS: CITY: STATE: ZIP: CELL PHONE: ( ) E-MAIL ADDRESS: # Of Years on Team Years of Membership Team Name: (Madamoiselles, Bon Amies, Angels, Saintsations): Official

More information

Last Name First Name MI. Cell Phone. Gender (circle) M / F Unisex Shirt Size (circle) XXS XS S M L XL 2XL 3XL

Last Name First Name MI.  Cell Phone. Gender (circle) M / F Unisex Shirt Size (circle) XXS XS S M L XL 2XL 3XL ST. JOHN THE EVANGELIST YOUTH MINISTRY 5751 Locust Avenue Carmichael, CA 95608-1320 Youth Application Instructions 1. Please clearly TYPE or PRINT each answer. 2. All information will be held in strict

More information

I/We. Synagogue. other than home? Does. Does. Does

I/We. Synagogue. other than home? Does. Does. Does 2017 2018 / 5778 Enrollment Application I/We wish to enroll my/our child in the Abraham Ratner Torah School for the 2017/2018 school year. For returning students, enrollment is contingent on the family

More information

Your child may attend Afternoon Adventures on an as-needed basis, but no child will be admitted without a completed registration packet.

Your child may attend Afternoon Adventures on an as-needed basis, but no child will be admitted without a completed registration packet. AFTERNOON ADVENTURES (2017-2018) An afterschool program provided by Christ Church Children s Ministry for children in PK 4-5 th grade. (After school for PK2 & PK3 provided by Christ Church School.) Afternoon

More information

Archdiocesan Pastoral Youth Council (APYC) Levels of Leadership

Archdiocesan Pastoral Youth Council (APYC) Levels of Leadership Archdiocesan Pastoral Youth Council (APYC) Levels of Leadership Youth Representative on APYC The Archdiocese of Chicago is in the process of selecting high school youth, three to five from each of the

More information

Sacramental Preparation for Baptism, First Eucharist and Confirmation at SEAS for children in at least grade 9.

Sacramental Preparation for Baptism, First Eucharist and Confirmation at SEAS for children in at least grade 9. Faith Formation Student Registration 2014-2015 Grades 9-12 Sacramental Preparation for Confirmation at SEAS The two year preparation program to celebrate Confirmation teaches youth about the Holy Spirit

More information

Hope Reformed Church Youth Group Policies. Our Biblical Basis: Purpose Statement: Missions Statement: Our Ministry Standard:

Hope Reformed Church Youth Group Policies. Our Biblical Basis: Purpose Statement: Missions Statement: Our Ministry Standard: Hope Reformed Church Youth Group Policies Our Biblical Basis: 1 Timothy 4:12- Don t let anyone look down on you because you are young, but set an example for the believers in speech, in life, in love,

More information

Belize 2016 Short-Mission Trip Application

Belize 2016 Short-Mission Trip Application Belize 2016 Short-Mission Trip Application Name: Address: City: Sate: Zip: Home Phone: ( ) Phone: ( ) Able to Receive Texts? Y/N E-mail: Place of Employment: How Long Have You Attended CrossPoint Church

More information

CONFIRMATION PREPARATION PROCESS FOR HIGH SCHOOL STUDENTS

CONFIRMATION PREPARATION PROCESS FOR HIGH SCHOOL STUDENTS CONFIRMATION PREPARATION PROCESS FOR HIGH SCHOOL STUDENTS Confirmation is one of the Sacraments of Initiation, along with Baptism and Eucharist, all of which complete your membership in the Church. Confirmation

More information

I am grateful that you have decided to join and support our community.

I am grateful that you have decided to join and support our community. Dear Chevra Kadisha, I am grateful that you have decided to join and support our community. We welcome and encourage participation in our many spiritual, social and enrichment programs offered throughout

More information

Mexicali 2017 Registration Packet

Mexicali 2017 Registration Packet Mexicali 2017 Registration Packet COMPLETE ALL!!!!!!! Forms Due January 15 : 2 Azusa Forms 1 Notarized! (we will have a notary at the Janury 15 th meeting bring your parents!) Octane Registration Form

More information

Year 1 Confirmation Requirements

Year 1 Confirmation Requirements Year 1 Confirmation Requirements 2017-2018 PROGRAM: Confirmation in the Diocese of Orange is a two-year program, and these years must be consecutive (typically 9 th & 10 th grade). Registrations begin

More information

St. Paul Catholic Church, North Canton, Ohio Office of Religious Education

St. Paul Catholic Church, North Canton, Ohio Office of Religious Education St. Paul Catholic Church, North Canton, Ohio Office of Religious Education July 2018 Dear St. Paul Parish Families: Deepening of one s relationship with God, Jesus, and others is a lifelong endeavor. We

More information

2018 Info Packet. * All forms and final payment for Midwinter due by Thursday, December 27. Other Information:

2018 Info Packet. * All forms and final payment for Midwinter due by Thursday, December 27. Other Information: 2018 Info Packet I am really excited about introducing Midwinter this year for our students. The heart behind Midwinter is giving students an opportunity to get away from the busy schedules of daily life

More information

YOUTH TRIP Diocese of Palm Beach

YOUTH TRIP Diocese of Palm Beach YOUTH TRIP Diocese of Palm Beach Section 20 February 2017 Page 1 of 8 YOUTH TRIP POLICY Updated April 2, 2009 CONCERNING SUPERVISION FOR TRIPS & OTHER FUNCTIONS Page 1 of 4 I. Introduction The following

More information

Those who are planted in the house of the LORD shall flourish in the courts of our God. Psalm 92:13

Those who are planted in the house of the LORD shall flourish in the courts of our God. Psalm 92:13 CALVARY CHAPEL PRIVATE SCHOOL PROGRAM 3232 MacArthur Blvd., Santa Ana, CA 92704 PHONE 714-979-4422 EXT. 5578# WEB psp.cccm.com EMAIL ccpsp@cccm.com CCPSP IS A MINISTRY OF CALVARY CHAPEL COSTA MESA Those

More information

Registration deadline March 24, Open to all high school teens! Cost: $25/person BE A FRIEND BRING A FRIEND

Registration deadline March 24, Open to all high school teens! Cost: $25/person BE A FRIEND BRING A FRIEND Registration deadline March 24, 2014 With special guest speaker: ValLimar Jansen ValLimar Jansen is especially known for her work with contemporary Christian, gospel, and gospel-jazz styles. Inspiring

More information

Impact 2017 Informational Letter (Middle School)

Impact 2017 Informational Letter (Middle School) Impact 2017 Informational Letter (Middle School) I am extremely excited that you have made a commitment to take a week out of your busy life to experience the amazing things God has in store for all of

More information

St. Basil the Great Parish Department of Religious Education

St. Basil the Great Parish Department of Religious Education St. Basil the Great Parish Department of Religious Education 2018-19 HOME-BASED CATECHESIS AGREEMENT This 2018-19 Home-Based Catechesis Agreement (this Agreement ) is by and between St. Basil the Great

More information

St. Joan of Arc Faith Formation

St. Joan of Arc Faith Formation St. Joan of Arc Faith Formation 2601 San Ramon Valley Blvd. San Ramon, CA 94583 Faith Formation pre-k thru grade 6: 925-830-4710 Youth Ministry grades 7-12: 925-830-4720 June 5, 2018 HELLO ST. JOAN OF

More information

Argentina Mission Trip Application July 15 th July 22 nd, 2018 Please return this application to:

Argentina Mission Trip Application July 15 th July 22 nd, 2018 Please return this application to: Name: Address: City, State, Zip: Cell Phone #: Birthdate (including year): Argentina Mission Trip Application July 15 th July 22 nd, 2018 Please return this application to: Boca Raton Community Church

More information

TEAM MEMBER SELECTION

TEAM MEMBER SELECTION TEAM MEMBER SELECTION CRITERIA FOR TEAM MEMBER SELECTION All team members must have a testimony of salvation through Jesus Christ and be able to verbally express this testimony before the team leaves.

More information

THE HEBREW ART ROOM. Chabad Jewish Center of Mountain Lakes, Boonton, Denville. Judaism Through Art

THE HEBREW ART ROOM. Chabad Jewish Center of Mountain Lakes, Boonton, Denville. Judaism Through Art Welcome to the Hebrew Art Room! The Hebrew Art Room is designed for ages 5-13. It is a Jewish educational program that provides Hebrew Learning in a fun, hands-on, crafty, and meaningful way. The Hebrew

More information

Group Registration- For All Groups Attending Registration Information

Group Registration- For All Groups Attending Registration Information JOY Junior High District Youth Gathering October 6-8, 2017- Camp Lutherhoma Camp Lutherhoma Physical Address: 23197 E 742 Rd, Tahlequah, OK 74464, 918-458-0704 Group Registration- For All Groups Attending

More information

Church Information Pastor s Name. Medical History: First Name Middle Last. Mailing Address. City State Zip. Address. Address

Church Information Pastor s Name. Medical History: First Name Middle Last. Mailing Address. City State Zip.  Address. Address 2018 Echo Ranch Bible Camp Jr. Counselor/ Wrangler Application Please return all completed forms to: EchoRanch@avmi.org Mailing address: PO Box 210608, Auke Bay, AK 99821 Phone: [907] 789-3777 Fax: [907]

More information

Sammamish Hills Lutheran Church Sunday School Registration Packet

Sammamish Hills Lutheran Church Sunday School Registration Packet Sammamish Hills Lutheran Church Sunday School 2017-2018 Registration Packet PLEASE REGISTER BY 9/10 Welcome to the 2017-18 Sunday School year! Our fall theme is The Gospel Project: Prophets and Kings.

More information

North Campus Next Level Lock-In PARENT INFO (keep this page) February 6-7, 2016

North Campus Next Level Lock-In PARENT INFO (keep this page) February 6-7, 2016 North Campus Next Level Lock-In PARENT INFO (keep this page) February 6-7, 2016 This year, we are challenging our students to ask themselves, who is ONE FRIEND they know (through school, sports, neighborhood,

More information

YOUTH MINISTRIES REGISTRATION FORM LIABILITY RELEASE AND MEDICAL INFORMATION

YOUTH MINISTRIES REGISTRATION FORM LIABILITY RELEASE AND MEDICAL INFORMATION 1 YOUTH MINISTRIES REGISTRATION FORM LIABILITY RELEASE AND MEDICAL INFORMATION Ministries in which you would like your child to participate. Please check mark those that apply: ALTAR BOYS (8+) MYROPHORES

More information

M issions & O utreach

M issions & O utreach 2 0 1 3 M issions & O utreach H.O.P.E. Helping Others Prepare for Eternity SJC 2013 Missions & OUTREACH Application Our Belief: The Great Commission is mission possible! Our Vision: A generation restoring

More information

The Diocese of New York and New Jersey Annual Altar Server Retreat February 6-7-8, 2015

The Diocese of New York and New Jersey Annual Altar Server Retreat February 6-7-8, 2015 The Diocese of New York and New Jersey Annual Altar Server Retreat February 6-7-8, 2015 For more information, questions, or inquiries, please contact: Priest Jason Vansuch at (716) 875-4222/jvansuch@hotmail.com

More information

ACYC JUNIOR 5/5/18 Registration Packet

ACYC JUNIOR 5/5/18 Registration Packet ACYC JUNIOR 5/5/18 Registration Packet This packet contains IMPORTANT AND TIME-SENSITIVE information. Please pass this on to the junior high youth ministry leader or contact person for junior high youth

More information

Mission Trip Application

Mission Trip Application Mission Trip Application Beltway Park Baptist Church 4009 Beltway South, Abilene, TX 79606 / 325.692.6540 Application for Short-Term Team Trip Country Trip s GENERAL INFORMATION Full Legal Name (Complete

More information

ACYC JUNIOR 10/13/18 Registration Packet

ACYC JUNIOR 10/13/18 Registration Packet ACYC JUNIOR 10/13/18 Registration Packet This packet contains IMPORTANT AND TIME-SENSITIVE information. Please pass this on to the junior high youth ministry leader or contact person for junior high youth

More information

Veritas Evangelical Seminary

Veritas Evangelical Seminary Veritas Evangelical Seminary Application for Admission Application Guidelines: Prior to submitting your application for admissions, please read the current Purpose Statement, Mission, Vision, Doctrinal

More information

Jewish Federation of Greater Atlanta From Surviving to Thriving April 12-26, 2015

Jewish Federation of Greater Atlanta From Surviving to Thriving April 12-26, 2015 Jewish Federation of Greater Atlanta From Surviving to Thriving April 12-26, 2015 Please complete this application in full and submit it to Meredith Lefkoff at mlefkoff@jfga.org. How much do you know about

More information

CONFIRMATION REGISTRATION CHECKLIST YEAR 1 The following items must be completed in order for this registration to be considered SUBMITTED.

CONFIRMATION REGISTRATION CHECKLIST YEAR 1 The following items must be completed in order for this registration to be considered SUBMITTED. St. Christopher Church Office of Religious Formation/Confirmation Ministry 629 S. Glendora Ave., West Covina, Ca 91790 Office: (626)338-2937 Cell: (626) 252-4751 Director of Religious Formation: Mrs. Judi

More information

The Diocese of New York and New Jersey Annual Altar Server Retreat February , 2016

The Diocese of New York and New Jersey Annual Altar Server Retreat February , 2016 The Diocese of New York and New Jersey Annual Altar Server Retreat February 12-13-14, 2016 For more information, questions, or inquiries, please contact: Priest Jason Vansuch at (716) 875-4222/jvansuch@hotmail.com

More information

CCYM Application Packet for Adults Meeting and Event Dates

CCYM Application Packet for Adults Meeting and Event Dates Center for Mission Support Central Texas Conference 3200 East Rosedale Street Fort Worth, Texas 76105 817-877-5222 CCYM Application Packet for Adults February 22, 2019 Thank you for your interest in serving

More information

Holy Rosary Catholic Church Office of Evangelization and Catechesis Faith Formation George Street, Rosenberg.

Holy Rosary Catholic Church Office of Evangelization and Catechesis Faith Formation George Street, Rosenberg. Holy Rosary Catholic Church Office of Evangelization and Catechesis Faith Formation 2018-2019 1416 George Street, Rosenberg. TX 77471 August, 8, 2018 Welcome back after a restful summer with your families;

More information

Christ Church Christmas Camp days of camp total 2 Days December 27 th and 28 th 2 Days January 3 rd and 4 th

Christ Church Christmas Camp days of camp total 2 Days December 27 th and 28 th 2 Days January 3 rd and 4 th Christ Church Christmas Camp 2018-2019 4 days of camp total 2 Days December 27 th and 28 th 2 Days January 3 rd and 4 th One Day Camp on December 21 st, 2018 *Age 3-6 th Grade (Age 3 by September 1, 2018

More information

Insurance & Medical Information: Insurance Carrier: Family Physician: Address of Physician:

Insurance & Medical Information: Insurance Carrier: Family Physician: Address of Physician: Devar Emet Messianic Synagogue & Outreach HaDerekh Youth Winter Aliyah: Medical & Parental Release Form 2016 7800 Niles Skokie, IL 60077 / (847) 674-9146 / info@demjo.org / www.demjo.org One form may be

More information

Missions Volunteer Application First Baptist Church, Monticello 413 N. Main St, Monticello, Arkansas (870)

Missions Volunteer Application First Baptist Church, Monticello 413 N. Main St, Monticello, Arkansas (870) Missions Volunteer Application First Baptist Church, Monticello 413 N. Main St, Monticello, Arkansas 71655 (870) 367-3449 I am applying for (circle one): Street Reach Peru Dates of Project: Personal Information

More information

CONFIRMATION INFORMATION SHEET

CONFIRMATION INFORMATION SHEET CONFIRMATION 2018-2019 INFORMATION SHEET What is Confirmation? Confirmation is a process during which students are guided in a discovery of their faith, during which they grow in their relationship with

More information

Jefferson Baptist Church Mission Trip Application. Name:

Jefferson Baptist Church Mission Trip Application. Name: Jefferson Baptist Church Mission Trip Application Name: I am applying to go to: (check all that apply) Portugal: June 23-July 4 Mexico: July 23-30 Haiti: October 15-21 Do you attend Jefferson Baptist Church?

More information

VICTORY ACADEMY OCALA RETURNING STUDENT ADMISSIONS APPLICATION FOR Name Age DOB Sex. Home Address/Phone. Father s Name Cell

VICTORY ACADEMY OCALA RETURNING STUDENT ADMISSIONS APPLICATION FOR Name Age DOB Sex. Home Address/Phone. Father s Name Cell VICTORY ACADEMY OCALA RETURNING STUDENT ADMISSIONS APPLICATION FOR 2016-2017 Victory Academy does not discriminate on the basis of race, color, or national origin in the administration of its educational

More information

The Aquarian Teacher: KRI Level 1 International Kundalini Yoga Teacher Training Certification program

The Aquarian Teacher: KRI Level 1 International Kundalini Yoga Teacher Training Certification program Congratulations! You are taking the first step in a potentially life changing journey to be a Kundalini Yoga teacher. Yogi Bhajan said that our highest destiny is that of a teacher and you are to be commended

More information

Participant s Name: Participant s African Name: Birth Date: Gender: School: School Grade: Home Address:

Participant s Name: Participant s African Name: Birth Date: Gender: School: School Grade: Home Address: REGISTRATION FORM Participant s Information: Participant s Name: Participant s African Name: Birth : Gender: School: School Grade: Home Address: Participant s email address: Participant uses Facebook?

More information

Diocesan Wide Confirmation Retreat Sunday, February 10 th. Tentative Schedule

Diocesan Wide Confirmation Retreat Sunday, February 10 th. Tentative Schedule Diocesan Wide Confirmation Retreat Sunday, February 10 th Tentative Schedule 10:00am Registration, Outside Group Icebreakers 10:30am Icebreakers/Music/Welcome VIDEO INITIATION [2:50] 11:03am Opening Prayer/YAC

More information

Christian Family Academy. Family Application Packet

Christian Family Academy. Family Application Packet Christian Family Academy Family Application Packet Location: Evangelistic Center Church Information: cfashawneeok.com Christian Family Academy (CFA) Family Application Form The CFA Home School Co-op is

More information

Tuition for the year increased slightly ($10 per child) for the first time in several years.

Tuition for the year increased slightly ($10 per child) for the first time in several years. PSR SCHOOL YEAR 2013-2014 Dear Parent/Guardian, Enclosed are the registration forms for the 2013-2014 Parish School of Religion. We have made an effort to consolidate the forms to make it easier for you.

More information

Cantate Home School Choirs Sing the glory of His name; make His praise glorious! Psalm 66:2

Cantate Home School Choirs Sing the glory of His name; make His praise glorious! Psalm 66:2 Cantate Home School Choirs Sing the glory of His name; make His praise glorious! Psalm 66:2 LOCATION: Choirs rehearse on Fridays at Northwest Church in Federal Way: 34800 21st Ave SW Federal Way, WA 98023

More information

Insurance & Medical Information: Insurance Carrier: Family Physician: Address of Physician:

Insurance & Medical Information: Insurance Carrier: Family Physician: Address of Physician: Devar Emet Messianic Synagogue & Outreach Camp HaDerekh 2017: Medical & Parental Release Form 7800 Niles Ave. Skokie, IL 60077 / (847) 674-9146 / info@demjo.org / www.demjo.org One form may be done for

More information

Nomination Brochure The Office of Adolescent Catechesis and Evangelization is supported by the Diocesan Services Fund

Nomination Brochure The Office of Adolescent Catechesis and Evangelization is supported by the Diocesan Services Fund As each one has received a gift, use it to serve one another as good stewards of God s varied grace. 1 Peter 4:10 Nomination Brochure 2019-2020 The Office of Adolescent Catechesis and Evangelization is

More information

2014 December Performance Junior Saintsation Packet

2014 December Performance Junior Saintsation Packet 2014 December Performance Junior Saintsation Packet 2014 Junior Saintsations PERFORM DECEMBER 21st for the NEW ORLEANS SAINTS vs ATLANTA FALCONS GAME! Make sure your future cheerleader or dancer is part

More information

TEMPLE JUDEA OF MANHASSET RELIGIOUS SCHOOL 333 Searingtown Road Manhasset, NY Phone: (516) Dear Parents,

TEMPLE JUDEA OF MANHASSET RELIGIOUS SCHOOL 333 Searingtown Road Manhasset, NY Phone: (516) Dear Parents, Dear Parents, I am pleased to enclose school registration materials for the 2017-2018 school year. Students will continue to attend class once a week, on Wednesday afternoons. Additionally, students in

More information

RESURRECTION LIFE CHURCH-SHORT TERM OUTREACH APPLICATION

RESURRECTION LIFE CHURCH-SHORT TERM OUTREACH APPLICATION RESURRECTION LIFE CHURCH-SHORT TERM OUTREACH APPLICATION PLEASE PRINT CLEARLY AS THIS INFORMATION WILL BE USED FOR BOOKING FLIGHTS AND Today s Date: / / ACCOMMODATIONS Page 1 Outreach Location: Date of

More information

VICTORY ACADEMY OCALA RETURNING STUDENT ADMISSIONS APPLICATION

VICTORY ACADEMY OCALA RETURNING STUDENT ADMISSIONS APPLICATION VICTORY ACADEMY OCALA RETURNING STUDENT ADMISSIONS APPLICATION 2019-2020 Victory Academy does not discriminate on the basis of race, color, or national origin in the administration of its educational policies,

More information

Confirmation Year 1 Registration Packet

Confirmation Year 1 Registration Packet 2017-2018 Confirmation Year 1 Registration Packet Please fill out and return ASAP Required Parent Meeting: September 12 OR 14, 2017 7:00-8:00 PM No registration forms processed after September 16 Congratulations

More information

NASSAU, BAHAMAS THE DETAILS. July 27 - Aug.2, 2019 // H.S. SENIOR/COLLEGE MISSION TRIP PRAYING PELICANS THE TRIP COST

NASSAU, BAHAMAS THE DETAILS. July 27 - Aug.2, 2019 // H.S. SENIOR/COLLEGE MISSION TRIP PRAYING PELICANS THE TRIP COST July 27 - Aug.2, 2019 // H.S. SENIOR/COLLEGE MISSION TRIP PRAYING PELICANS We will be partnering again with Praying Pelicans, a short-term international missions organization that has paired us with a

More information

God Bless, Brady Watson

God Bless, Brady Watson We are as excited this year for our Disciple Now weekend, VICTORIOUS. You may have some questions about what this actually is, and simply put it is a weekend geared towards bringing students (6 th -12

More information

Kimisis Tis Theotokou Greek Orthodox Church, Holmdel, NJ GOYA Membership Application Please Print All Information

Kimisis Tis Theotokou Greek Orthodox Church, Holmdel, NJ GOYA Membership Application Please Print All Information GOYA Membership Application 2017-2018 Please Print All Information First name: Last name: Street address: City: State: Zip: Email address: Home Phone #: Cell #: Birth date: Present Age: Present Grade:

More information

FBC Texarkana Mission Trip Application

FBC Texarkana Mission Trip Application FBC Texarkana Mission Trip Application CHECKLIST: Application completed Deposit paid Copy of Passport Copy of Insurance Card Immunizations Prayer support team Financial support team This application must

More information

Participant Information Form (Required for each individual)

Participant Information Form (Required for each individual) Participant Information Form We are excited that you are interested in going on a mission trip with TEM. You will be blessed by getting to know the people and country of Haiti, and the work that the Lord

More information

Church of Living Waters

Church of Living Waters Rev. Dr. Paul Carrette Senior Pastor Church of Living Waters Dominica Missions Trip Registration Packet Name: Date: Included in this packet: 1. Personal Data Form 2. Medical Information and Release Form

More information

Please return Forms by November 2, 2015 to Fr. Jason Vansuch, St. George Orthodox Church, 2 Nottingham Terrace Buffalo, NY 14216

Please return Forms by November 2, 2015 to Fr. Jason Vansuch, St. George Orthodox Church, 2 Nottingham Terrace Buffalo, NY 14216 The Diocese of New York and New Jersey Second Diocesan Girls Retreat November 13-14-15, 2015 St. Basil s Academy, 79 Saint Basil Road, Garrison, NY 10524 For more information, questions, or inquiries,

More information

VOLUNTEER as a Teacher, Aide, Principal or Prayer Service Aide

VOLUNTEER as a Teacher, Aide, Principal or Prayer Service Aide CLASS SESSIONS: $80.00 for One Child; $20.00 for EACH additional child. (One half of total tuition cost due upon registering; balance due by August 31st.) HOME SCHOOLING: $50.00 for ONE Child; $20.00 for

More information

December 31, Dear Parents,

December 31, Dear Parents, 213 E. 3 rd St. Sweetwater, TX 79556 325-236-6348 www.fbcsweetwater.org December 31, 2018 Dear Parents, 2018 has been a great year in the Youth ministry at First Baptist Church! We have seen God do amazing

More information

INVITES YOU TO. Southern Florida District. YOUTH EVENT in the Nazarene church & it only happens once every 4 years!! REGISTER BY DECEMBER 2014

INVITES YOU TO. Southern Florida District. YOUTH EVENT in the Nazarene church & it only happens once every 4 years!! REGISTER BY DECEMBER 2014 Nazarene Youth Conference Louisville, KY July 5-13, 2015 NYC2015.COM Southern Florida District Nazarene Youth International INVITES YOU TO Service Projects The biggest YOUTH EVENT in the Nazarene church

More information

MISSIONS TEAM MANUAL. He said to them, Go into all the world and preach the gospel to all creation. Mark 16:15

MISSIONS TEAM MANUAL. He said to them, Go into all the world and preach the gospel to all creation. Mark 16:15 MISSIONS TEAM MANUAL He said to them, Go into all the world and preach the gospel to all creation. Mark 16:15 MEETING 01 CELEBRATION CULTURAL Our culture is governed by these 12 principles: 1. God is first

More information

MISSIONS. Cross Cultural Discipleship Experiences. A program of VidaNet 2019 YOUTH MISSION TRIP MANUAL

MISSIONS. Cross Cultural Discipleship Experiences. A program of VidaNet 2019 YOUTH MISSION TRIP MANUAL 2019 YOUTH MISSION TRIP MANUAL MISSIONS Cross Cultural Discipleship Experiences A program of VidaNet Table of Contents Introduction to Vida Missions 3 Vida Mission s Statement of Purpose 3 Our Goals for

More information

STUDENT ENROLLMENT APPLICATION

STUDENT ENROLLMENT APPLICATION of Application Grade Applying For 1401 E. 24th ST. MISSION, TX 78574 956-585-9773 admin@agapeschoolmission.com 2018-2019 STUDENT ENROLLMENT APPLICATION Instructions: This application is to be completed

More information

Lakeshore Christian Home School Athletics LCHSA 2017 VOLLEYBALL Registration & Parental Consent

Lakeshore Christian Home School Athletics LCHSA 2017 VOLLEYBALL Registration & Parental Consent Lakeshore Christian Home School Athletics LCHSA 2017 VOLLEYBALL Registration & Parental Consent Parents: E-mail: Address: City/State Zip Home phone:( ) Cell Phone: ( ) Cell Phone: ( ) 1. Do you understand

More information

Enrollment Application. For. Dr. D.D. Brown Christian. Academy of Hope

Enrollment Application. For. Dr. D.D. Brown Christian. Academy of Hope 1. Enrollment Application For Dr. D.D. Brown Christian Academy of Hope 2. Dr. D.D. Brown Christian Christian Academy Academy of Hope of Private Hope School Mission Mission Statement Statement- Preparing

More information

TRINITY PRESBYTERIAN CHURCH FACILITIES USE POLICY AND REQUEST FORMS

TRINITY PRESBYTERIAN CHURCH FACILITIES USE POLICY AND REQUEST FORMS (UPDATE PROPOSED BY THE FACILITIES TEAM ON 02/16/2016) Approved by Session, February 2016 THIS POLICY UPDATE INCLUDES THE FOLLOWING AND SUPERCEDES ANY PREVIOUSLY ADOPTED FACILITIES USE POLICY: PAGE # I.

More information

MISSION TRIP APPLICATION FOR ADULTS

MISSION TRIP APPLICATION FOR ADULTS Dear Missionary, MISSION TRIP APPLICATION FOR ADULTS We are excited that you are starting the process of joining a mission team with Aloma Church! It is our prayer that you will hear God s calling for

More information

Archdiocesan Catholic Youth Conference 2016 Registration Packet

Archdiocesan Catholic Youth Conference 2016 Registration Packet Archdiocesan Catholic Youth Conference 2016 Registration Packet This packet contains IMPORTANT AND TIME-SENSITIVE information. Please pass this on to the youth ministry leader or contact person for youth

More information

Youth Mission Trip 2015 Jackson, Ohio General Information

Youth Mission Trip 2015 Jackson, Ohio General Information The Basics: Youth Mission Trip 2015 Jackson, Ohio General Information Who: Youth entering 8 th grade and older (includes college kids) approx. 90-110 total What: Jackson Area Ministries Youth Mission Trip

More information

Burbank Sister City Committee Burbank Public Library 110 N Glenoaks Blvd. Burbank CA 91502

Burbank Sister City Committee Burbank Public Library 110 N Glenoaks Blvd. Burbank CA 91502 Burbank Sister City Committee Burbank Public Library 110 N Glenoaks Blvd. Burbank CA 91502 March 3, 2014 Dear Bike-a-Thon Rider: We look forward to your participation in the Fourth Annual Bike-a-Thon benefiting

More information

Something New! Welcome To The Greatest Kick-Off To A New Year

Something New! Welcome To The Greatest Kick-Off To A New Year WINTER CAMP 2019 Something New! Welcome To The Greatest Kick-Off To A New Year Welcome to Winter Camp This winter I d like to invite you to join many other Connect students, leaders, Haley and myself to

More information

ACCEPTANCE LETTER. NW ACDA Childrens Honor Choir 2014 Seattle, WA March 13-16, 2014

ACCEPTANCE LETTER. NW ACDA Childrens Honor Choir 2014 Seattle, WA March 13-16, 2014 NW ACDA Childrens Honor Choir 2014 ACCEPTANCE LETTER Congratulations! In the Northwest Division of ACDA, which covers six states, there are thousands of eligible singers in ACDA members choirs. Out of

More information

MISSION TRIP VOLUNTEER APPLICATION

MISSION TRIP VOLUNTEER APPLICATION Exalt Christ. Make Disciples. Pass The Torch. MISSION TRIP VOLUNTEER APPLICATION This application must be completed in full, regardless of whether or not you have previously participated on a short-term

More information

11766 Shoshone Avenue, Granada Hills, CA Phone: x440 Website:

11766 Shoshone Avenue, Granada Hills, CA Phone: x440   Website: 11766 Shoshone Avenue, Granada Hills, CA 91344 Phone: 818-360-4611x440 Email: ymconnexions@gmail.com Website: www.steym.com WELCOME! Thank you for allowing us to be a part of your family s faith journey.

More information

Tikkun Orleans 8 th Grade Service Learning trip to New Orleans, LA

Tikkun Orleans 8 th Grade Service Learning trip to New Orleans, LA Tikkun Orleans 8 th Grade Service Learning trip to New Orleans, LA March 7 th -10 th, 2019 Tikkun Orleans: 8 th Grade Trip to New Orleans March 7 th -10 th, 2019 What to Bring: Two casual outfits for the

More information

First United Methodist Church, Clifton June July There are many opportunities for youth and families this summer at FUMC Clifton!

First United Methodist Church, Clifton June July There are many opportunities for youth and families this summer at FUMC Clifton! First United Methodist Church, Clifton June July 2018 There are many opportunities for youth and families this summer at FUMC Clifton! Friends are welcome to attend any of the events! If there is a cost

More information

Mount Zion Christian Academy Boarding Student Application Packet

Mount Zion Christian Academy Boarding Student Application Packet Mount Zion Christian Academy Boarding Student Application Packet Contents Tuition and Fee Schedule (Undergraduate)... 2 Tuition and Fee Schedule (Postgraduate)... 3 Application... 4-12 Records Release

More information

World Youth Day 2016 Pilgrim Eligibility Forms. Catholic Archdiocese of Sydney

World Youth Day 2016 Pilgrim Eligibility Forms. Catholic Archdiocese of Sydney World Youth Day 2016 Pilgrim Eligibility Forms Catholic Archdiocese of Sydney Welcome Thousands of Australians have travelled to World Youth Day and hold wonderful memories. They ve experienced conversion

More information

Shepherd of the Valley Junior High Mission Trip Application Quad Cities. Sunday, June 15 Friday, June 20, 2014

Shepherd of the Valley Junior High Mission Trip Application Quad Cities. Sunday, June 15 Friday, June 20, 2014 Shepherd of the Valley Junior High Mission Trip Application Quad Cities Sunday, June 15 Friday, June 20, 2014 Dear Junior High Student and Parent: We have the exciting opportunity to fill 50 mission trip

More information

Cullman Christian School Homeschool Cooperative Programs Application Procedure

Cullman Christian School Homeschool Cooperative Programs Application Procedure Cullman Christian School Homeschool Cooperative Programs Application Procedure Thank you for considering Cullman Christian School to add to the education of your child. In this packet you will find all

More information

I have a 2016 Annual Giving Appeal Form on file in the St. John parish office*: Yes

I have a 2016 Annual Giving Appeal Form on file in the St. John parish office*: Yes HIGH SCHOOL YOUTH MINISTRY ENROLLMENT FORM COVERING YOUTH GROUP EVENTS 2016-2017 SCHOOL YEAR, INCLUDING DISCIPLESHIP GROUPS, SERVICE PROJECTS, SOCIAL EVENTS, PRAISE SERVICES **Suggested donation for youth

More information

High School Youth Conference February 24-26, Registration and Information Packet

High School Youth Conference February 24-26, Registration and Information Packet High School Youth Conference February 24-26, 2017 Registration and Information Packet 2017 High School Youth Rally Katie Prejean McGrady Katie Prejean is a teacher, youth minister, author, and speaker

More information

SYNOPSIS & PRAYER GUIDE

SYNOPSIS & PRAYER GUIDE JUNE 11-21, 2016 To expose OHAC attendees to the mission of the Christian & Missionary Alliance, to bond them with the heart of specific work in Guadalajara, to encourage our team of international workers,

More information

Diocesan Youth Day 2018

Diocesan Youth Day 2018 Diocesan Youth Day 2018 Diocese of New York and New Jersey For All Diocesan Youth and Friends from elementary to middle school, high school, and college! WHEN: Wednesday, August 22 nd, 10:30 AM 7 PM WHERE:

More information

NICARAGUA FAMILY MISSION TRIP

NICARAGUA FAMILY MISSION TRIP NICARAGUA FAMILY MISSION TRIP June 22 June 29, 2018 Sharing God s Love in Nicaragua Go therefore and make disciples of all nations, baptizing them in the name of the Father, and of the Son, and of the

More information