Impact Youth - Registration 2026

Youth's First Name

Youth's Last Name

Email

Birthday

Month

Day

Year

Phone

Have you ever attended Bible Study? Why or Why Not?

What would you like to learn at Impact Youth? What events would interest you?

Youth's T-Shirt Size

Small

Medium

Large

X-Large

Subscribe to our mailing list.

We're excited to welcome you to Impact Youth at Perfectly Chosen Ministries! To complete registration, families must schedule a required 30-minute Zoom meeting with Pastor Tee. Registration is open year-round. Youth may begin after the Zoom is completed.

Month

Day

Year

Time

HoursMinutes

You may schedule your Zoom introduction meeting at any time; however, youth may not join or participate in Impact Youth activities until the meeting is completed. A consenting parent or legal guardian must be present during the Zoom unless the youth is 18 years old. A Zoom link will be emailed once meeting is confirmed.

Please upload a valid driver's license of the consenting parent or guardian.

Signature

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Consenting parent or guardian signature is required.

Financial Investment

Impact Youth (one time) Enrollment Fee:$50

Donation

All contributions will directly support future Impact Youth activities and events, helping us create enriching experiences for our youth. Your generosity makes a difference. $10 Minimum Donation Appreciated!