Petition for Exclusion
Please fill out the form below in order to Petition for Exclusion from participation at ET NYI Explosion.
Student Name:
*
First Name
Last Name
Youth Pastor/Leader Name:
*
First Name
Last Name
Youth Pastor/Leader Email:
*
example@example.com
Reason for Exclusion:
*
School Athletics
School Academics
Family Illness
Personal Illness
Other
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:
Preaching
Sign Language
Dramatic Monologue
Interpretive Worship Solo
Mime/Human Video Solo
Instrumental Music:
Instrumental Brass Solo
Instrumental Woodwinds Solo
Instrumental Keyboard Solo
Instrumental Percussion Solo
Instrumental Strings Solo
Speech:
Oral Interpretation
Original Oratory
Storytelling
Sports:
Ladies Soccer
Ladies Backetball
Ladies Flag Football
Ladies Volleyball
Men's Soccer
Men's Basketball
Men's Flag Football
Men's Beach Volleyball
Co-Ed Dodgeball
Co-Ed Softball
Co-Ed Ultimate Frisbee
Submit
Should be Empty: