Youth Ministry Registration

Youth Ministry - Participant Registration

All youth ministry participants are asked to register at this time.

Family Information
Parent / Guardian Name*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent / Guardian Phone*
Parent / Guardian Email Address*
Youth Ministry programs are made possible by the service of dedicated adult volunteers. Would you like to learn more about volunteering in Youth Ministry?*
All levels of time commitment can be accommodated. Please check all volunteer opportunities that might interest you.
- Christian Formation (Bible Study) teacher (Volunteers teach in teams of two. All training and lessons will be provided.)
- High Tide (High School Youth Group)
- Low Tide (Middle School Youth Group)
- Homework & Hangs (supervised, unstructured time in the Youth House before dinner on Wednesday nights)
- Mission trip or retreat chaperone
- Lock-in / Lock-out chaperone
- Local outreach coordination (serving at Mission House and other local organizations)
- Special Events planning
- Special needs "buddy" (An adult whose sole responsibility is the well being of a participant with special needs. No special skills are needed other than patience and a warm heart.)
- Hospitality (reach out to new families)
- I'm not able to help at this time.
Add another parent / guardian?*
- Yes
- No
Parent / Guardian Name 2*
First Last
Home Address 2*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent / Guardian Phone 2*
Parent / Guardian Email Address 2*
Youth Ministry programs are made possible by the service of dedicated adult volunteers. Would you like to learn more about volunteering in Youth Ministry?
All levels of time commitment can be accommodated. Please check all volunteer opportunities that might interest you.
- Christian Formation (Bible Study) teacher (Volunteers teach in teams of two. All training and lessons will be provided.)
- High Tide (High School Youth Group)
- Low Tide (Middle School Youth Group)
- Homework & Hangs (supervised, unstructured time in the Youth House before dinner on Wednesday nights)
- Mission trip or retreat chaperone
- Lock-in / Lock-out chaperone
- Local outreach coordination (serving at Mission House and other local organizations)
- Special Events planning
- Special needs "buddy" (An adult whose sole responsibility is the well being of a participant with special needs. No special skills are needed other than patience and a warm heart.)
- Hospitality (reach out to new families)
- I'm not able to help at this time.
Parent Permissions and Information
Are you members of Christ Church?
(For information only, all are welcome!)
- Yes
- No
Would you like more information about becoming members?
- Yes
- Not at this time.
Christ Church requests the right to take photographs/videos of program participants for lawful purposes, including publicity, news reporting, and web content.*
- I grant Christ Church permission to photograph or video the participant(s).
- I do not grant Christ Church permission to photograph or video the participant(s).
Youth Contact Information
Name*
First Last Nickname
Date of Birth*
Month
Day
Year
Gender
High School Graduation Year*
Which school does the participant attend?*
If registering in the summer, please use info for upcoming school year.
- Landrum Middle School
- Palm Valley Academy
- Fletcher Middle School
- Ponte Vedra High School
- Nease High School
- Fletcher High School
- Palm Valley Academy
- Bolles School
- Episcopal School of Jacksonville
- Providence School of Jacksonville
- Douglas Anderson School of the Arts
- La Villa School of the Arts
- Bishop Kenny High School
- Palmer Catholic
- St. Paul's Catholic
- Home school
- Other
Youth Mobile Phone
Youth Email Address
Occasionally, our youth ministry staff will contact youth by text to check in or share updates about programs. Do we have permission to text this number?
- Yes
- No
All are welcome. Does the participant have special needs we should know about, so that we can provide the safest and most comfortable environment possible?*
If so, we'll reach out to you for further discussion.
- Yes
- No
- Not sure
Register another participant?*
Participant 2
Name
First Last Nickname
Date of Birth
Month
Day
Year
Gender
High School Graduation Year
Which school does the participant attend?
If registering in the summer, please use info for upcoming school year.
- Landrum Middle School
- Ponte Vedra High School
- Nease High School
- Fletcher Middle School
- Fletcher High School
- Palm Valley Academy
- Douglas Anderson School of the Arts
- La Villa School of the Arts
- Bolles School
- Episcopal School of Jacksonville
- Providence School of Jacksonville
- Bishop Kenny High School
- Palmer Catholic
- St. Paul's Catholic
- Home school
- Other
Youth Mobile Phone
Youth Email Address
Occasionally, our youth ministry staff will contact youth by text to check in or share updates about programs. Do we have permission to text this number?
- Yes
- No
All are welcome. Does the participant have special needs we should know about, so that we can provide the safest and most comfortable environment possible?*
If so, we'll reach out to you for further discussion.
- Yes
- No
- Not sure
Register a third participant?
Participant 3
Name
First Last Nickname
Date of Birth
Month
Day
Year
Gender
High School Graduation Year
Which school does the participant attend?
If registering in the summer, please use info for upcoming school year.
- Landrum Middle School
- Ponte Vedra High School
- Nease High School
- Fletcher Middle School
- Fletcher High School
- Palm Valley Academy
- Bolles School
- Episcopal School of Jacksonville
- Providence School of Jacksonville
- Douglas Anderson School of the Arts
- La Villa School of the Arts
- Bishop Kenny High School
- Palmer Catholic
- St. Paul's Catholic
- Home school
- Other
Youth Mobile Phone
Youth Email Address
Occasionally, our youth ministry staff will contact youth by text to check in or share updates about programs. Do we have permission to text this number?
- Yes
- No
All are welcome. Does the participant have special needs we should know about, so that we can provide the safest and most comfortable environment possible?*
If so, we'll reach out to you for further discussion.
- Yes
- No
- Not sure
Additional Information and Community Covenant
Please enter any additional email addresses which should receive the Youth Ministry e-newsletter.
The newsletter is the primary source for information about our events for youth. You an also follow us on Instagram (@cecyouth) and Facebook (Christ Episcopal Church Youth Ministry).
Is there anything else you would like us to know about the participant(s)?
Youth Ministry Community Covenant*
Agreement 1: Speak Lovingly - It only takes one little negative word to ruin someone’s day. So let’s not cut each other down, but build each other up! / Agreement 2: Treat the Youth House like a Sacred Space - The youth house is part of the church, and is a church in and of itself. Lots of love and care has been put into creating this space for you. Please throw away trash, cleanup spills and refrain from throwing objects in (or at) the youth house. / Agreement 3: One Mic, One Diva - When one person is talking during a discussion, everyone else should be listening. Not only should you listen to your leaders, but also your peers. Nothing makes someone feel more special than listening to what they have to say. You have two ears, and one mouth so that you can listen more than you speak. / Agreement 4: Vegas Rule - What happens in Vegas, stays in Vegas. When someone shares something personal in youth group, please don’t spread it around outside of youth group. / Agreement 5: Be yourself, and celebrate others - We want you to be 100% fully who you are – the way God made you and loves you. We want to celebrate everyone. We have lots of different kinds of youth hanging out in our youth group from different backgrounds and places. If someone is different than you – celebrate that, don’t mock it. / Agreement 6: Have fun! But make it fun for everyone - Youth group is supposed to be meaningful and FUN. Lots of youth come to youth group for lots of reasons. Maybe you like games more than the lesson. Maybe you like the lesson more than the games. Maybe you’re just here to hangout. But make sure you are participating in everything in a way that makes it fun for everyone and doesn’t just suit the experience you want to have.
- Participant has read and agrees to the Community Covenant
- Parent will ensure that the participant reads and agrees to the Community Covenant.

Youth Ministry Registration

Youth Ministry - Participant Registration

Family Information

Parent Permissions and Information

Youth Contact Information

Participant 2

Participant 3

Additional Information and Community Covenant

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Youth Ministry Registration

Youth Ministry - Participant Registration

Family Information

Parent Permissions and Information

Youth Contact Information

Participant 2

Participant 3

Additional Information and Community Covenant

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