YC JR Registration 2026-2027

Youth Club is a 4-part midweek program for PreK-Grade 1 (must be toilet trained). YC JR meets on Wednesdays from 5-7:15 PM from September through April. (Dates vary by year.) Dinner is provided.

Parent involvement is required.

Please plan to attend the parent meeting on 9/23 at 6:30 pm.

Student Information -- one child per form

Child's Name

Address

Birthdate

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?

Grade for the 2026/2027 school year?

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 treatment 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 Requirements

We rely on our parents/volunteers to help us provide YC. I understand that I am required to volunteer 6 times per year. I will also complete the required abuse prevention training and background check prior to volunteering. You will be contacted to sign up via email.

I prefer to volunteer as a table parent I prefer to volunteer as a Bible study teacher I prefer to volunteer with meal prep I prefer to volunteer with clean-up I prefer to help with games I prefer to help with crafts I prefer to provide a homemade dessert

FEES

The cost is $150 per year, including the meal.

If you are opting out of dinner, the annual fee is $50.

If you would like to make payments, please contact the church office for more details.

Scholarships are available upon request.

Fee

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

YC JR Registration 2026-2027

Description

Please Fix the Following