Youth Programs : First Unitarian Church of Des Moines

Sunday Evening High School Youth Group

Who: Grades 9-12

When: Sundays at 6:00 p.m CT, September – May

Where: Room 107

Leaders: Director of Faith Formation, Devon McClurken, and Youth Advisors ((John Audlehelm, Kevin Boeckholt, Cale J-Finnegan, Shannon Kaldenberg))

Our Young Religious Unitarian Universalist (YRUU) group allows teens to bond through exploration of personal and spiritual rituals, participation in engaging activities and empowering social action projects. Youth will plan events and projects, check in with each other, play games and enjoy some snacks.

Sunday Evening High School Youth Group Sign-Up Form

"*" indicates required fields

Youth's Name*

First Last

Youth's Pronoun(s)

Pronoun

Youth's Cell Phone Number

Youth's Email Address

Grade

Age

Please enter a number from 0 to 18.

Parent/Guardian Name*

First Last

Parent/Guardian's Cell Phone Number*

Parent/Guardian's Email Address*

Parent/Guardian's Email Address #2

Alternative/Emergency Contact Name*

First Last

Alternative/Emergency Contact Phone #

Allergies or Dietary Restrictions

Other needs / Information

This youth has my permission for the following:

Spend the night at the church during youth group lock-ins

Ride in the car with a Youth Group Adult Sponsor

Ride in a car with a licensed member of the youth group

Overnight Permissions:

If this youth will participate in overnight activities (at UCDSM or other UU churches for CONS), please complete the following medical information:

Family Physician

Health Insurance Provider

Preferred Hospital

Policy #

Medications

Devon McClurken, our Director of Faith Formation, serves as YRUU coordinator and can be reached at dff@ucdsm.org, or 515-244-8603, ext. 104

Youth Programs

Sunday Evening High School Youth Group

Sunday Evening High School Youth Group Sign-Up Form

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