Youth Programs

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, Sally Boeckholt, Gene McCracken, Mark Metz)

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.

Youth's Name

Youth's Pronoun

Age

Grade

Youth's Cell Phone #

Youth's Email address

EMERGENCY INFORMATION

Parent/GuardianName

Parent/Guardian Email Address

Parent/Guardian Email Address #2

Parent/Guardian Phone #1

Alternative Emergency Contact Name

Phone # for Altnerative Emergency Contact

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

check all that apply

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

Family Physician

Preferred Hospital

Health Insurance Provider

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

Sunday Evening High School Youth Group

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