Youth

YOUTH GROUP

Grades 6-12

Youth Group meets from 12pm-1:30pm on the 1st and 3rd Sundays of the month in the Youth Room (room 210, 2nd floor of the education wing).

All youth grades 6-12 are welcome to join us for food, fellowship, service, and fun!

1st Sunday of the month

12:00-12:30: Combined youth food and games

12:30-1:30: Middle School Reflections / High School Volunteer Corps

3rd Sunday of the month

12:00-12:30: Combined youth food and games

12:30-1:30 High School Reflections / Middle School Volunteer Corps

EMAIL YOUTH DIRECTOR Youth Calendar 2025-2026

YOUTH CONFIRMATION

Candidates for Confirmation make a public affirmation of their faith.

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Youth Programs Registration Form 2025-2026

Youth First Name

Youth Middle Name

Youth Last Name

Date of Birth

Grade

Youth Phone (for text communication)

Youth Email Address

Parent/Guardian Name (First & Last)

Parent/ Guardian Relationship

Parent/Guardian Address

Parent/Guardian Email Address

Parent/Guardian Phone

Include me in group texts

Yes

No

Parent/Guardian 2 Name (First & Last)

Parent/Guardian 2 Relationship

Parent/Guardian 2 Address

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone

Include me in group texts

Yes

No

1st Emergency Contact (Name & Phone #)

2nd Emergency Contact (Name and Phone #)

List medical conditions we need to know about

List any medications to be administered while in our care

List any dietary allergies/needs

List any other special needs your youth has

List any other accommodations needed for your youth

Medical Release: In case of emergency, I understand that a reasonable effort will be made to contact me. If I cannot be reached, I hereby give an agent of Grace and St. Stephen’s permission to act on my behalf to seek emergency medical treatment for my youth in the event that such treatment is deemed necessary by the agent. I give permission to any licensed physician selected by this agent to administer such emergency treatment as said physician in his/her judgement deems necessary in the circumstances; and hereby absolve Grace and St. Stephen’s Episcopal Church, its agents and employees from any and all liability resulting from their conformance with these instructions. I agree with the Medical Release.

Yes

No

Media Release: Photographs and videos may be taken at Grace and St. Stephen’s Episcopal Church to be used for any of these purposes: written promotions; mailings; website, social media and audio/visual presentations. No names will be used. By agreeing to this Media Release, you give permission for your youth’s photo/voice to be used in the above ways. I agree with the Media Release.

Yes

No

More Info?

Please contact Denise Gustafson, Youth Group Co-Leader

Visiting?