Student Life Youth Ministry

Illuminate

Sunday Nights
Main Building
Grades 7-12*
6:00-8:00pm

Illuminate is our "new" night for youth group. We are all made to illuminate the light of Jesus. Join us as we pursue a life in Jesus Christ through fellowship, worship, prayer and biblical teaching.

When Jesus spoke again to the people, he said "I am the light of the world. Whoever follows me will never walk in darkness, but will have the light of life."
John 8:12 (NIV)

* 7th-12th grades are together for youth group. When age-specific topics are being taught we will break out into small groups that will be geared for those grade levels.

Journey

Wednesday Nights
Main Building
Grades 7-12
6:00-8:00pm

Journey is a night for discipleship and service. We are all on a journey. Join us for a night of fellowship, serving, and small group studies. This night is geared for students to come and be discipled and to disciple. All students that are here on Wednesdays will be encouraged to attend a small group or help in kids ministry.*

Jesus answered, "I am the way and the truth and the life. No one comes to the Father except through me."
John 14:6 (NIV)

* You will need to sign up for the life skill group and to help with kids ministry.

Upcoming SLYM Events

Information

UGLY Christmas Sweater Party
Dec. 16

Ugly Christmas Sweater Contest
Junior / Senior High Gift Exchange (bring a new $5 or less gift)
Games
Prizes
Food
Grades 7-12
Sunday, Dec. 16th 5-8pm

Info/register

Illuminate Extended

December 30th
Youth Group from 6-8
"Extended" from 8-12

Join us for Youth Group from 6-8 and stay for a night of fun!

BROOMBALL @ LLOYD CENTER
Pizza & Ice Cream Included
$20

Registration & money due by Sunday, December 23.
*Medical Release form required, available on this page.

Illuminate Extended Sign-Up

* Indicates required field

Student Name *

First

Last

Phone Number *

Email *

Parent/Guardian Name *

First

Last

Checking "Yes" below is considered your digital signature for the purposes of this authorization. By checking here, you are consenting to the use of your digital signature in lieu of an original signature on paper. You have the right to request that you sign on a paper copy instead. By checking "Yes" below, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. Your agreement to use a digital signature with us will continue for one year from the date of submission or until you notify us in writing that you no longer wish to use a digital signature.

Parent Digital Signature *

Yes

In order to attend this event, all participants must have an up to date medical release. The online medical release form is available on this web page. If you are unsure about the current status of your medical release, please contact Pastor Ryan.

Cost for this event is $20 and should be paid to Pastor Ryan as soon as possible (no later than December 23rd).

Submit

Information

2018 Medical Release

2018 SLYM Medical Release

The Liberty Bible Church NYI Medical Release Form may be submitted electronically or you can download a PDF copy (available at the bottom of this form), print and fill it out and submit it to Pastor Ryan.

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

School *

Birth Date *

Age *

Gender *

Male Female

Father's Name *

First

Last

Mother's Name *

First

Last

Father's Cell # *

Mother's Cell # *

Father's Work # *

Mother's Work # *

Alternate Contact Name *

First

Last

Alternate Contact # *

Insurance Carrier *

Insurance Policy Number *

Family Physician *

Physician Phone # *

Allergies *

Regular Medications *

We, the undersigned parents/guardians of the above-named participant, grant permission for the participant to participate in sponsored activities by Liberty Bible Church of the Nazarene.

We have been advised of the nature and extent of the activities that may take place and represent to you that the participant is physically and mentally able to participate in those activities.

We understand that the activity does present the risk of injury, or even death to the participant, and we have advised the participant of those possibilities. We represent to you that we and the participant assume the risk of any such injury or death, and hold you, your agents, employees and representatives harmless from any liability for injury or death to the participant while engaged in this activity which is caused or contributed to by the conduct of the participant, and agree to indemnify and defend you against any claim or liability asserted against you for any such injury or death to the participant.

We also hold you, your agents, employees and representatives harmless from any and all liability to any other person or entity arising as a result of the conduct of the participant in this activity and agree to defend and indemnify you, your agents, employees and representatives against any claim or liability arising as a result of such conduct.

If we are not personally present at these activities in which the participant is to participate, so as to be consulted in the case of necessity, you are authorized on our behalf to arrange for such medical, hospitalization, and/or surgical treatment as you may deem advisable by a licensed physician for the health and well being of the participant.

Checking "Yes" below is considered your digital signature for the purposes of this authorization. By checking here, you are consenting to the use of your digital signature in lieu of an original signature on paper. You have the right to request that you sign on a paper copy instead. By checking "Yes" below, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. Your agreement to use a digital signature with us will continue for the full duration of 2018 or until you notify us in writing that you no longer wish to use a digital signature.

* Indicates required field

Parent/Guardian Name *

Date Submitted *

Digital Signature *

Yes

Submission of this form indicates that you understand what is contained in this authorization. This authorization shall remain effective for the full duration of 2018 unless sooner revoked in writing by the parent or guardian.

Submit

If you would prefer a paper copy of this form, please use the "Download File" link below. The form will need to be printed, filled out and turned in to Pastor Ryan or the church office.

2018 Medical Release
File Size:	68 kb
File Type:	pdf

Download File

2019 Medical Release

2019 SLYM Medical Release

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

School *

Birth Date *

Age *

Gender *

Male Female

Father's Name *

First

Last

Mother's Name *

First

Last

Father's Cell # *

Mother's Cell # *

Father's Work # *

Mother's Work # *

Alternate Contact Name *

First

Last

Alternate Contact # *

Insurance Carrier *

Insurance Policy Number *

Family Physician *

Physician Phone # *

Allergies *

Regular Medications *

Checking "Yes" below is considered your digital signature for the purposes of this authorization. By checking here, you are consenting to the use of your digital signature in lieu of an original signature on paper. You have the right to request that you sign on a paper copy instead. By checking "Yes" below, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. Your agreement to use a digital signature with us will continue for the full duration of 2019 or until you notify us in writing that you no longer wish to use a digital signature.

* Indicates required field

Parent/Guardian Name *

Date Submitted *

Digital Signature *

Yes

Submission of this form indicates that you understand what is contained in this authorization. This authorization shall remain effective for the full duration of 2019 unless sooner revoked in writing by the parent or guardian.

Submit

If you would prefer a paper copy of this form, please use the "Download File" link below. The form will need to be printed, filled out and turned in to Pastor Ryan or the church office.

2019 Medical Release
File Size:	88 kb
File Type:	pdf

Download File

Email Pastor Ryan for more information