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?
Are You Filled With The Holy Spirit?
Do You Speak In Other Tongues?
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.

YOUTH Summer Intern Registration$200.00

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Total $0.00

YOUTH Summer Internship