Explosion Petition for Exclusion

Petition for Exclusion

Please fill out the form below in order to Petition for Exclusion from participation at ET NYI Explosion.
Student Name: *

First NameLast Name
Youth Pastor/Leader Name:*

First NameLast Name
Youth Pastor/Leader Email: *
example@example.com
Reason for Exclusion:*

School AthleticsSchool AcademicsFamily IllnessPersonal IllnessOther
Name of School: *
Name of Adult Sponsor/Coach: *
Contact info for Adult Sponsor/Coach:*
Reason for Exemption: Why are you unable to attend Explosion? (I.E. School Tournament, School Play, Band Competition, etc.) *
Creative Ministries:

PreachingSign LanguageDramatic MonologueInterpretive Worship SoloMime/Human Video Solo
Instrumental Music:

Instrumental Brass SoloInstrumental Woodwinds SoloInstrumental Keyboard SoloInstrumental Percussion SoloInstrumental Strings Solo
Speech:

Oral InterpretationOriginal OratoryStorytelling
Sports:

Ladies SoccerLadies BacketballLadies Flag FootballLadies VolleyballMen's SoccerMen's BasketballMen's Flag FootballMen's Beach VolleyballCo-Ed DodgeballCo-Ed SoftballCo-Ed Ultimate Frisbee
Should be Empty: