2019 KOV Teen Registration

Kids of Victory - Summer 2019

Teen Ministry Team Sign-Up

To be a Teen Leader you must have completed the 7th grade or higher

West Location ONLY

Enter Details About Your Event Here.

Age:

Gender

Male
Female

Grade Completed Spring 2019:

First Name (Preferred name printed on t-shirt) & Last Name

Address

The School I Attend

The Church I Attend

Home Phone # with area code: (If none enter 314-000-0000)

Teen's Cell #: (If none enter 314-000-0000)

Time 8:15 am - 4:15 pm every day

Important Information for 2019!

Teens (9th-12th graders) will be allowed to work 1 week at the West location and 3 of the 4 weeks at the Crestwood location.

Teens (7th & 8th graders) will be allowed to work 1 week at the West location and 2 of the 4 weeks at the Crestwood location.

If a teen chooses to work at both locations, forms must be filled out for each location.

I would like to work: Cost of shirt $10

Session 1: June 24-28

Yes ($10.00) [Sold Out]

Please Note: Teen Leaders cannot be placed with Campers except for medical reasons.

I am interested in helping with special needs children:

T-Shirt Size - $10

KOV Years of Experience

Years as a Camper?

Years as an Assistant Teen Leader?

Years as a Main Leader?

My teen has permission to participate in all Kids of Victory - 2019 events and field trips. I give my consent for my child to be photographed as a part of KOV programming and nonprofit promotions.

In the event that my child needs medical attention during Kids of Victory 2019, I give permission for Ministry Staff to administer medical treatment or admit to a hospital for emergency treatment. I further agree to hold harmless and release from liability Southgate Church and/or West Springs Church, its ministers, and anyone acting on behalf of KOV for any and all injuries sustained while at KOV.

Child Approved*

I give my permission to admimister over the counter medication

Mom's First & Last Name

Mom's Cell # with area code (If none enter 314-000-0000)

Dad's First & Last Name

Dad's Cell # with area code: (If none enter 314-000-0000)

Emergency Contact Information:

Name First & Last

Relationship to Teen

Daytime Phone # with area code

Cell Phone # with area code

Allergies

Medications

Teens of Victory Camp - June 10-14, at Southgate
West - Breakfast of Champions - Saturday, June 22, 8:30 - 11:30 am at West Springs Church
Crestwood - Breakfast of Champions - Saturday, July 6, 8:30 - Noon at the Southgate Cafteria

Running Total

$0.00

Coupon Code

Total

$0.00

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