Momentum Honors Banquet Nominees

Speed the Light & Youth Alive Honors Banquet

To be filled out by the main youth leader of the nominees' church.
Deadline for nominations 10/23/23
(in order for them to receive their gift onsite)

Please note: if you are filling this form out AFTER 10/23 your student will not receive their gift until AFTER Momentum.
Church City*
Church Name*
Youth Pastor Name*

First NameLast Name
Youth Pastor Email*
example@example.com
Youth Pastor Phone*
Please enter a valid phone number.
Qualifying students begin at the $500 giving mark OR have started a Youth Alive Club or Prayer Table at their school.
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
Add Student?

YesNo
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
Add Student?

YesNo
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
Add Student?

YesNo
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
Add Student?

YesNo
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
Add Student?

YesNo
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
Add Student?

YesNo
Student Name

First NameLast Name
Shirt Size
Amount Given:

$500+$750+Grand Club - $1000+Started a Youth Alive ClubStarted a Prayer Table at their school
If you have more students to submit than this form allows, please submit a second form.
Late Registration

YesNo
Date

MonthDayYear
Date
(office use) Late Registration?
Should be Empty:

Speed the Light & Youth Alive Honors Banquet

Qualifying students begin at the $500 giving mark OR have started a Youth Alive Club or Prayer Table at their school.