Youth Club JR. Registration 2024-2025

Youth Club JR is midweek program for 3 year olds - 5th Grade for students who wish to do part, but not all of YC. YC JR meets Wednesdays from 5:30-6:20pm, with an option to add dinner from 6:20-7:15pm.

The kids will start with 15 minutes of music time! Then, they will head downstairs for Bible Study. Children who stay for dinner will be ready for pick up at 7:15 pm; children who opt out of dinner will be ready for pick up at 6:20 pm.

YC JR meets September thru April (dates vary by year). Parent involvement is encouraged!

Student Information -- one child per form

Child's Name

Phone

Address

Birthdate

Age/Grade as of Sept. 5, 2024

Is Our Savior's your home church?

Yes No

If Our Savior's is not your home church, where do you attend worship, if any?

Medical Information

Please list any medications or allergies your child has.

Please list any special needs/accommodations/restrictions.

Medical Emergency: By typing your name below, you are authorizing Youth Club staff to seek/provide medical care for your child.

Parent/Guardian Information

1. Name

Cell Phone

This address will receive a confirmation email

Address (if different from above)

2. Name

Cell Phone

This address will receive a confirmation email

Address (if different from above)

Photo/Video Release

Photo Release- I hereby give permission that my child, while participating in OSLC ministries, may be photographed or videotaped. I understand that my child's image and voice may be used at a later date to promote future events.

Yes No

Volunteer Opportunities

We rely on our parents/volunteers to provide this program. Please select an area you are willing to assist with.

I will teach a Bible Study time I will be a table parent and eat dinner with a group of kids each week I will sign up to help with dishes some weeks. The sign up will come out in September! Contact me. I would love to help out somewhere!!

Dinner Option

We are offering a dinner option for the YC JR kids! Dinner time is served family style. Tables will have an adult or 2 sitting with a small group of children. Each week, they'll sit with the same adult, so they will get to know each other throughout the year.

The cost of this option is $150 for the year ($5/meal+YC JR supplies).

Would you like to add dinner time?

yes no

FEES

The cost is $25 per year, or $150 if you are adding dinner.

No child will be denied enrollment in Youth Club JR because of financial needs. Please check the scholarship box if you are needing financial assistance. If you so desire, you can also donate $50 towards the scholarship program.

Pay here by credit card or send check to:
Youth Club, OSLC
9185 Lexington Ave N
Circle Pines, MN 55014.

Fee

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Youth Club JR. Registration 2024-2025

Description

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