Adult Registration Form - Only

Youth in Action Day

February 6, 2016

Official Use Only

August 8, 2015 until 12:00 pm on January 2, 2016 (General Registration Fee)

January 2, 2016 after 12:00 pm thru February 6, 2016 (On-Site Fee) Registrations received after 12:00 pm on January 2, 2016 will be considered as "On-Site Registration"

(General Registration Fee) (On-Site Fee)

$13.00 Ages 26yrs, and older $20.00 Ages 26yrs, and older

(PLEASE PRINT CLEARLY)

Name: Last______First ______M.I. _____

Church: ______Phone#:______Pastor: ______

District: ______

I am a: Coordinator Helper: (event) ______Participant Church Rep District Rep Guest

Events:

ADULT SEMINARS: Select and Write 1st and 2nd Sessions Choice

_____Adult Workshop _____Single and Single Again (Women ONLY)

____ Life of COGIC/who is Bishop Charles H. Mason? ____ COGIC Doctrine

_____Prayer Room "Come as you are" ____ Pastors Wives Workshop (All Day – Pastor Wives Only)

_____Introduction to Church Program Design & Advertisement (1st Session ONLY)

_____Computers (2nd Session ONLY) _____Choir

_____Effective Teaching Methods _____Elders Wives Workshop (All Day)

_____Administrative Asst. & Superintendents (1st Session Only) _____Pastors & Elders (2nd Session Only)

______Amount Paid (circle one) Cash or Check - with “Check number” ______

Make all checks payable to: Northern GA Second COGIC Fine Arts Department

Send to: Elder Boris A. Williams

577 Jackson Street

Grovetown, GA 30813

Youth Registration Form - Only

Youth in Action Day

February 6, 2016

Official Use Only

August 8, 2015 until 12:00 pm on January 2, 2016 (General Registration Fee)

January 3, 2015 after 12:00 pm thru February 6, 2016 (On-Site Fee) Registrations received after 12:00 pm on January 2, 2016 will be considered as "On-Site Registration"

(General Registration Fee) (On-Site Fee)

$4.00 Ages 3 - 11yrs. $4.00 Ages 3 - 11yrs.

$7.00 Ages 12 - 18yrs. $10.00 Ages 12 - 18yrs.

$10.00 Ages 19 - 25yrs. $15.00 Ages 19 - 25yrs.

$13.00 Ages 26yrs, and older $20.00 Ages 26yrs, and older

(PLEASE PRINT CLEARLY)

Name: Last ______First ______M.I. _____

Age: ______(if under 26yrs old) Grade: ______

Church: ______Pastor: ______

District: ______Phone #:______

I am a: Coordinator Helper: (event) ______Participant Church Rep. District Rep. Guest

*Select and write the #1 & #2 once on the line by the event you would like to attend, which you can

toggle between the non-competitive or competitive events. Then write the #3 & #4 next to an unlimited

event to be used only if your 1st & 2nd events are filled at the time when your church registration forms are

turned in. You do not have to write the #3 or #4 if you have already selected #1 or #2 as your unlimited event.*

NON - COMPETITIVE EVENTS:

(“PLEASE”, look closely for “1st or 2nd Sessions Only”)

Events:

___ Children’s Church, Ages 1 - 5yrs ___ Tambourine Band, Ages 1 – 10yrs (1st Session ONLY - unlimited) ____Arts & Crafts ___Tambourine Band, Ages 11yrs & Up (2nd Session ONLY - unlimited)

___ Drill Team, Ages 8yrs & up (Unlimited) ___Jump Rope, Ages 6yrs. & up (Unlimited)

____Intro to Church Program Design & Advertisement, 13-25yrs (2nd Session ONLY)

____Robotics 101, 6th-12th grades (1st Session ONLY-Max 10) ___Computers, Ages 9-12 yrs (1st Session Only)

___Computers Ages, 13 & Up (2nd Session Only)

Seminars:

____Choir, Ages 10 yrs. & up (Unlimited) ____ Liturgical Praise Dancers, Ages 9 yrs. & up

____ Young Women, Ages 18-25yrs ____ Gentlemen, Ages 18-25yrs

____ Men of Valor, (1st Session 09-12yrs) ____ COGIC Girls Rock, (1st Session 09-12yrs)

____ Men of Valor, (2nd Session 13-18yrs) ____ COGIC Girls Rock, (2nd Session 13-18yrs)

COMPETITIVE EVENTS: (Must be a Northern GA Second COGIC member to compete) (“PLEASE”, look closely for “1st or 2nd Sessions Only”)

Events:

_____ Bible Recitation, Grades 1st – 12th ______Robotics (check here if competing) (2nd (Session Only)

_____ Oratorical, Ages 12 - 15yrs (Junior) (1st Session Only) ____ Math, Grades 3rd – 12th (1st Session only)

_____ Oratorical, Ages 16 - 22yrs (Senior) (1st Session Only)

______STEM Showcase (science project) (2nd Session Only) ____Green City Research Essay, Grades 6th -12th

(2nd Session Only) (Due 1/23/2016)

(1 Junior & 1 senior 4 to 8 member District Teams) Battle of the Bibles

___ Bible Bowl, Ages 5 - 15yrs (Junior) (1st Session) ____ (Senior) Ages 16 - 22yrs (1st Session)

___ Bible Bowl, Ages 16 - 22yrs (Senior) (2nd Session) _____ (Junior) Ages 8 - 15yrs (2nd Session)

______Amount Paid (circle one) Cash or Check - with “Check number” ______

Make all checks payable to: Northern GA Second COGIC Fine Arts Department

Send to: Elder Boris A. Williams

577 Jackson Street

Grovetown, GA 30813

ON-SITE REGISTRATION FORM Youth Registration Only

Youth in Action Day

February 6, 2016

Official Use Only

January 2, 2016 after 12:00 pm thru February 6, 2016 (On-Site Fee)

Registrations received after 12:00 pm on January 2, 2016 will be considered as "On-Site Registration"

$4.00 Ages 3 - 11yrs.

$10.00 Ages 12 - 18yrs.

$15.00 Ages 19 - 25yrs.

$20.00 Ages 26yrs. and older

(PLEASE PRINT CLEARLY)

Name: Last ______First ______M.I. ______

Age: ______(if under 26yrs old) Grade: ______

Church: ______Pastor: ______

District: ______

I am a: Coordinator Helper: (event) ______Participant Church Rep District Rep Guest

______Amount Paid (circle one) Cash or Check, Check number ______

Make all checks payable to: Northern GA Second COGIC Fine Arts Department

WRITE THE #1 & #2 TO INDICATE YOUR 1ST & 2ND SESSION

(BOTH CHOICES WILL BE CHECKED TO SEE IF SPACE IS AVAILABLE)

_____ Bible Recitation, Grades 1st – 12th- ____Robotics (check here if competing) (2nd Session Only)

_____ Oratorical, Ages 12 - 15yrs (Junior) 1st Session Only ____ Math, Grades 3rd – 12th (1st Session Only)

_____ Oratorical, Ages 16 - 22yrs (Senior) 1st Session Only

_____ STEM Showcase (Science Project) Grades 6th – 12th (2nd Session Only) ____ Green City Research Essay

(2nd Session Only), Grades 6th-12th

(1 Junior & 1 senior 4 to 8 member District Teams) Battle of the Bibles

___ Bible Bowl, Ages 5 - 15yrs (Junior) (1st Session) _____ (Senior) Ages 16 - 22yrs, (1st Session)

___ Bible Bowl, Ages 16 - 22yrs (Senior) (2nd Session) _____ (Junior) Ages 8 - 15yrs, (2nd Session)

NON - COMPETITIVE EVENTS:

___Children’s Church, Ages 1 - 5 yrs. ___Tambourine Band, Ages 1 – 10yrs (1st Session ONLY - unlimited) ___ Arts & Crafts ___Tambourine Band, Ages 11yrs & Up (2nd Session ONLY - unlimited)

___ Drill Team, Ages 8yrs & up (Unlimited) ___ Jump Rope, Ages 6yrs. & up (Unlimited)

___ Arts & Crafts ____ Robotics 101, Grades 6th-12th grades (1st Session Only)

____Computers, Ages 9-12, (1st Session Only) ____ Computers, 13yrs & Up, (2nd Session Only)

Seminars

____ Choir, Ages 10 yrs. & up (Unlimited) ____ Liturgical Praise Dancers, Ages 9 yrs. & up

____ Young Women, Ages 18-25yrs ____ Gentlemen, Ages 18-25yrs

____ Men of Valor, (1st Session 09-12yrs) ____ COGIC Girls Rock, (1st Session 09-12yrs)

____ Men of Valor, (2nd Session 13-18yrs) ____ COGIC Girls Rock, (2nd Session 13-18yrs)

____Introduction to Church Program Design & Advertisement (2nd Session ONLY) 15-25 yrs

Make all checks payable to: Northern GA Second COGIC Fine Arts Department

ON-SITE REGISTRATION FORM

Adult Registration - Only

Youth in Action Day

February 6, 2016

Official Use Only

January 2, 2016 after 12:00 pm thru February 6, 2016 (On-Site Fee) Registrations received after 12:00 pm on January 2, 2016 will be considered as "On-Site Registration"

(General Registration Fee) (On-Site Fee)

$13.00 Ages 26yrs., and older $20.00 Ages 26yrs., and older

(PLEASE PRINT CLEARLY)

Name: Last______First ______M.I. ______

Church: ______Pastor: ______

District: ______

I am a: Coordinator Helper: (event) ______Participant Church Rep District Rep Guest

Events:

ADULT SEMINAR: Select and Write 1st and 2nd Session Choice

“PLEASE” look closely for “1st or 2nd Sessions Only”)

_____Adult Workshop _____Single and Single Again (Women ONLY)

_____The Life of COGIC/Who is Bishop Charles H. Mason _____COGIC Doctrine

_____Prayer Room "Come as you are" ____ Pastor’s Wives Workshop (All Day – Pastor Wives Only)

_____Effective Teaching Methods ____ Elders Wives Workshop (All Day)

_____Introduction to Church Program Design & Advertisement (1st Session ONLY)

_____Computers (2nd Session ONLY)

_____Administrative Asst. & Superintendents (1st Session Only) _____Pastors & Elders (2nd Session Only)

______Amount Paid (circle one) Cash or Check, Check number ______

Make all checks payable to: Northern GA Second COGIC Fine Arts Department