Pathway Community Church
Middle School Application
6th- 8th Grade Form
Contact Information
Name
*
First
Last
Date of Birth
*
MM
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DD
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YYYY
Current Grade
*
6th Grade
7th Grade
8th Grade
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Curacao
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Email
*
Cell Phone Number
*
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T-shirt Size
*
Please Select
Small
Medium
Large
X Large
XX Large
XXX Large
Instructions:
Read each statement, check the box under each to indicate your response.
I understand that I am representing Jesus to KidCity Kids. I agree to conduct myself in a manner that will be pleasing to Jesus Christ.
*
Agree
Disagree
I understand that as a Youth Helper, I am here to assist the adult volunteers in carrying out the mission of KidCity at Pathway.
*
Agree
Disagree
I understand that 7th-8th grade helpers can only serve in Toddlers, 2's, 3's, and 4's & 5's rooms. I will volunteer where I am placed and serve cheerfully.
*
Agree
Disagree
I will arrive 30 minutes before service starts and stay until all kids are picked up and toys are put away.
*
Agree
Disagree
I will not serve if I have had a contagious illness within the past 48 hours.
*
Agree
Disagree
All youth volunteers must have a youth covenant on file and have a name badge before being permitted to serve. I understand that I can not bring a friend who is not screened to serve in KidCity.
*
Agree
Disagree
I will be respectful to leaders that I am serving with. I will look to them for guidance at all times.
*
Agree
Disagree
I understand that I need to be fed spiritually. I will commit to attend the classes offered for youth at Pathway. I will also participate in any training given to youth by KidCity leadership.
*
Agree
Disagree
I understand that if at anytime my conduct becomes less that what is expected of me, corrective action steps will be taken. These steps may include verbal warning with instruction on how to conduct myself, written warning, parental notification and, if necessary, dismissal from the ministry.
*
Agree
Disagree
I agree to go through KidCity In-Action and read the "Youth Handbook" guide. I also agree to abide by all rulse as stated in the guide.
*
Agree
Disagree
Salvation Journey
Have you accepted Jesus Christ as your Lord and Savior?
*
Yes
No
When and how did you hear the Salvation message?
*
Why do you desire to volunteer in KidCity?
*
Signature and Acknowledgement
I understand the expectations that Pathway Community Church has of me as a Youth Helper and I am committed to doing my best to fill these expectations.
Student's Full Name
*
First
Last
Today's Date
*
MM
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DD
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YYYY
Parent Signature: I give my permission for my son/ daughter to volunteer in KidCity.
Parent's Full Name
*
First
Last
Today's Date
*
MM
/
DD
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YYYY
Do Not Fill This Out