OWL Registration Form

OWL Registration Form

2026/2027 North Shore cohort; 8th - 9th grade
We're so excited to be hosting 8th-9th grade OWL this year! We would love for you to join us.

The program will meet from 4-6pm on Sundays at the First Church in Salem, starting November 8.

Please direct any questions to Theo Burbank, Director of Lifespan Religious Education at First Church: fcreligioused@gmail.com.
Participant Information
How many participants would you like to register for OWL?
- OWL Participant Full Name
  
  FirstLastpronouns
- Participant's preferred name/nickname
  If other than their first name above
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Please select grade level for the 2026/2027 school year
- Are there any allergies/medical needs we should be aware of?
- Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
  It would be helpful to know about food allergies so that we can keep snacks safe, as well as other medical needs that might come up during an OWL session.
- We want OWL to be an inclusive environment for all involved. Is there anything that we should know about this participant that would help us create an inclusive space for them?
- Do you have any concerns/questions you would like to share?
- OWL Participant Full Name
  
  FirstLastpronouns
- Participant's preferred name/nickname
  If other than their first name above
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Please select grade level for the 2026/27 school year
- Are there any allergies/medical needs we should be aware of?
- Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
  It would be helpful to know about food allergies so that we can keep snacks safe, as well as other medical needs that might come up during an OWL session.
- We want OWL to be an inclusive environment for all involved. Is there anything that we should know about this participant that would help us create an inclusive space for them?
- Do you have any concerns/questions you would like to share?
- OWL Participant Full Name
  
  FirstLastpronouns
- Participant's preferred name/nickname
  If other than their first name above
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Please select grade level for the 2026/27 school year
- Are there any allergies/medical needs we should be aware of?
- Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
  It would be helpful to know about food allergies so that we can keep snacks safe, as well as other medical needs that might come up during an OWL session.
- We want OWL to be an inclusive environment for all involved. Is there anything that we should know about this participant that would help us create an inclusive space for them?
- Do you have any concerns/questions you would like to share?
- OWL Participant Full Name
  
  FirstLastpronouns
- Participant's preferred name/nickname
  If other than their first name above
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Please select grade level for the 2026/27 school year
- Are there any allergies/medical needs we should be aware of?
- Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
  It would be helpful to know about food allergies so that we can keep snacks safe, as well as other medical needs that might come up during an OWL session.
- We want OWL to be an inclusive environment for all involved. Is there anything that we should know about this participant that would help us create an inclusive space for them?
- Do you have any concerns/questions you would like to share?
- Parent/Guardian Information
- Parent/Guardian support is an integral part of the OWL program. How many parent/guardians will be supporting this/these individual(s) participation?
- Parent/Guardian 1
  
  First NameLast Namepronouns
- Parent/Guardian 1 Email
  example@example.com
- Parent/Guardian 1 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian 1 Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- This address is the participant's Primary address
- Parent/Guardian 2
  
  First NameLast Namepronouns
- Does this person share:
- Parent/Guardian 2 Email
  example@example.com
- Parent/Guardian 2 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian 2 Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- This address is the participant's Primary address
- Parent/Guardian 3
  
  First NameLast Namepronouns
- Parent/Guardian 3 Email
  example@example.com
- Parent/Guardian 3 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian 3 Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- This address is the participant's Primary address
- Parent/Guardian 4
  
  First NameLast Namepronouns
- Parent/Guardian 4 Email
  example@example.com
- Parent/Guardian 4 Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian 4 Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contacts
- Emergency Contact 1
  
  First NameLast Name
- Relationship to participant
  ex: friend, aunt, grandparent
- Emergency Contact 1 Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact 2
  
  First NameLast Name
- Relationship to participant
  ex: friend, aunt, grandparent
- Emergency Contact 2 Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Membership Information
- Do you attend one of the churches that is running this OWL program?
- How did you learn about OWL?
- What makes you interested in OWL?
- Participation
- Parents and guardians needs to attend the Parent Information Session on 10/8 in order for their children to participate (youth will have a welcome activity at this time). If you will not be able to attend this meeting, please contact Theo from First Church at fcreligioused@gmail.com as soon as possible.
- Attendance for OWL is important for understanding and for group cohesion. We understand that things come up, and that youth will not be able to make every workshop. We ask that you do your best to facilitate regular attendance, and avoid scheduling activities during an OWL workshop whenever possible.
- Should be Empty:

OWL Registration Form

Participant Information

Parent/Guardian Information

Emergency Contacts

Membership Information

Participation