2026 Teen Week Registration

Please fill out this form and click submit.

Teen Info

Name

Age

Gender

Please select one option.

Male Female

Name of Church Ministry your Teen Attends

Phone Number of Teen (If Applicable)

Parent/Guardian Contact Info

Parent/Guardian Name(s)

Parent/Guardian Phone Number(s)

Parent/Guardian Email

Emergency Contact & Medical Info

Emergency Contact Name

Emergency Contact Phone Number

Does your Teen have any allergies or medical conditions we should be aware of, including pet allergies? If yes, please list below.

Please select one option.

Yes No

List of allergies or medical conditions.

Is your Teen currently taking any medications? If yes, please list below.

Please select one option.

Yes No

List any medications your Teen is currently taking.

Event Logistics

What is your Teen's T-Shirt size?

Please select one option.

XS S M L XL XXL

Will your Teen need housing?

Please select one option.

Yes No

Does your teen have a preferred roommate?

Would your teen like to serve on Sunday?

Please select all that apply.

Worship Usher

What is your teen's swimming ability?

Please select one option.

Non-Swimmer Beginner Competent Swimmer Strong Swimmer

Permissions and Agreement

Do you give permission for your Teen to be photographed or recorded during this event for promotional purposes?

Please select one option.

Yes No

Additional Information about your Teen

Is there anything else you feel we should know about your Teen?

Waiver Form

Please fill out a waiver for your teen with the following link.

Payment

Registrations

Standard Registration ($125) Registration with 25 % Scholarship ($93.75) Registration with 33% Scholarship ($83.33) Registration with 50% Scholarship ($62.50) Registration with 100% Scholarship ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

2026 Teen Week Registration

Description

Please Fix the Following