Youthwave 2019 Conference Staffs, Pastors & Small Group Leader Registration
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Email *
Your Name *
(First  Last)
Gender *
Cell Phone Number *
T shirt size *
Date of Birth *
MM/DD/YY
Please select your current status. *
Church Currently Attending *
If checked "other" please write the name of the church
Please select your area of serving. *
[Small Group Leaders] serve small groups of six youth students along with one adult chaperone, being their guide throughout the conference. [Chaperones] support small group leaders in guiding their small groups and ensuring student safety, and specifically stay with students in their rooms throughout the night. Volunteers serve in various capacities and areas in the overall program.
Please list an emergency contact number *
Name (Relationship), Phone Number
Please list allergies to any food/medicine *
If none, write N/A
Name Health Insurance Provider and Policy Number *
This Question applies only to Small group leaders: Please list any current or prior leadership/volunteer experiences you've had working with youth.
Please list any special talents/skills you have. *
What age group do you prefer to serve/work with? *
Reference: Pastor's Name and Email *
Name of Pastor, Email
Is there anything you'd like us to know about you?
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