YOUTH Summer Internship Registration

YOUTH Summer Internship

Convicted
DATES/TIMES

July 7-18, 2025; 9am-3pm
DETAILS

YOUTH Summer Internship is for students who were in the 6th-12th grade during the 2024-2025 academic year. Registration fee includes: t-shirts, bags, meals, activities, events, and so much more. (Registration does NOT cover Summer Internship Camp.)
STUDENT REGISTRATION FORM

STUDENT INFORMATION
Full Name Of Student*

First NameMiddle NameLast Name
Student's Email

Confirmation Emailexample@example.com
Student's Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Student's Phone Number*

Area CodePhone Number
Student's Medical Notes
Parent(s)/Guardian(s) Name:*
Parent(s)/Guardian(s) Phone Number*

Area CodePhone Number
Parent(s)/Guardian(s) Email*

Confirmation Emailexample@example.com
Students Emergency Contact*
Emergency Contact Phone Number*

Area CodePhone Number
Please verify that you are human*
Have You Accepted Jesus As Your Lord And Savior?*

YesNoI'm Not Sure
Are You Filled With The Holy Spirit?*

YesNoI'm Not Sure
Do You Speak In Other Tongues?*

YesNoI'm Not Sure
T-Shirt Size*
Why Do You Want To Be A LIFE Summer Intern?*
I Understand This Registration Is Final. It Is Non-Refundable And Non-Transferrable.*

My Products*

YOUTH Summer Intern Registration$200.00

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Total $0.00

YOUTH Summer Internship