CORE Leader Board 23-24
Open to grades 11-12 with IMPACT meeting or mission trip experience.
The Jr. Board supports and represents IMPACT, and helps plan and lead meetings, special events and fundraisers.
Confirm / Complete Information. Parental signature required for minor participant.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Grade
*
Please select all that apply.
Freshman
Sophomore
Junior
Senior
What sports/activities/job responsibilities might conflict with attendance at meetings? (leave blank if none)
Which month(s) do you anticipate the most conflicts
*
Please select all that apply.
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
By submitting this form with a name entered below, I, if I am 18 or older, or the parent/guardian of the minor above agrees with the following statements: I am aware of this Enrollment into the CORE Team at Kenilworth Union Church. I give permission for myself/my child named above to participate in all meetings and related activites. I know of no reason I/my child should not be allowed to work with minors at Kenilworth Union Church. I understand there are inherent risks involved in all activities, including those inherent to being in contact with others during the COVID-19 pandemic, and I release the Church and all of its agents from any claim, whatsoever, arising out of activities associated with the CORE team. I accept responsibility for any damage caused by my child’s negligence or intentional act. (Sign your name if 18+, have parents sign if 17 and under
*
Submit
Description
Open to grades 11-12 with IMPACT meeting or mission trip experience.
The Jr. Board supports and represents IMPACT, and helps plan and lead meetings, special events and fundraisers.
Confirm / Complete Information. Parental signature required for minor participant.
×
Please Fix the Following