JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PYM Buzz Newsletter Sign-up
All we need is your email address for you to receive the monthly newsletter, but please fill in as much information as you are willing to share. The more we know, the better we can serve you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
Your answer
Last Name
Your answer
Mobile Phone Number
Your answer
Church (Organisation)
Your answer
Presbytery/Region
Choose
Te Aka Puaho
Pacific Island Presbytery
Northern
Kaimai
Central
Alpine
Southern
Unsure
Other
Relevant role (Youth Leader, Sunday School Superintendent, Minister etc)
Your answer
Are you the Key Leader for your ministry - that is the person that heads up a ministry
Yes
What age groups do you work with? (approximately)
Pre-School
Primary School
Intermediate School
High School
Young Adults
Other:
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Presbyterian Youth Ministry.
Does this form look suspicious?
Report
Forms
