General Forms

Registration Summary Form sheet

Activity Agreement Form

Church Size Guideline Form

Registration Summary Form

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

SMM/Youth in Action: General form 2016

Church: ______

District: ______

Pastor: ______

Church Location: ______

Church Representative: ______

Phone Number: ( ) ______

Please Complete

A. *** Number of Persons Amount Paid

1. Ages 3 - 11 ______$______

2. Ages 12 – 18 ______$______

3. Ages 19-25 ______$______

4. Ages 26, and older ______$______

Total ______$______

B.  Church Love offering

$______

Total Amount Enclosed $______

Signature: ______Date: ______

Phone Number: ______

***Please ensure that there is enough money enclosed to match each registration form***

Scholastic Motivation Ministries

Activity Agreement Form

Youth in Action Day

Date: ______

Event: ______

Coordinator: ______

______Session I, ______Session II - Grade: ______, Adult: ______

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Scholastic Motivation Ministries

Activity Agreement Form

Youth in Action Day

Date: ______

Event: ______

Coordinator: ______

______Session I, ______Session II - Grade: ______, Adult: ______

CHURCH SIZES

(C-Smaller)

1 - 25 members

(B-Small)

25 or more members

(A-Medium)

75 or more members

(AA-Large)

250 or more members

(AAA- Larger)

500 or more members
PARTICIPANT FORMS

Activity Sheet

General Meeting Sign in Forms

Participant Sheet (Use this sheet for add on)

Children's Church Sign in Sheet

Health Form Screening Sheet

Scholastic Motivation Ministries

YIA Day

ACTIVITY SHEET

DATE:______

EVENT:______

COORDINATOR: ______

ACTIVITOR LEADER:______

SESSION I ______, No. of participants ______SESSION II ______, No. of participants ______

Total No. of participants ______

Age or Grade: ______Score:______

JUDGE:______

  1. ______

2. ______

  1. ______
  1. ______
  1. ______

6. ______

Scholastic Motivation Ministries

YIA Day

ACTIVITY SHEET

DATE: ______

EVENT: ______

COORDINATOR: ______

ACTIVITOR LEADER: ______

SESSION I ______, No. of participants ______SESSION II ______, No. of participants ______

Total No. of participants ______

Age or Grade:______Score:______

______HELPERS ______JUDGES

1. ______

2. ______

3. ______

4.______

5.______

6. ______

Scholastic Motivation Ministry (SMM)

Date: ______

NAME, E-Mail ADDRESS, ADDRESS, PHONE NUMBER and CHURCH

If you are a Church Representative, place "CR" before your name) (If you are a DRISTRICT Representative, place "DR" before your name)

1

______

2.______

______

3.______

______

4.______

______

5.______

______

6.______

______

7.______

______

8.______

______

9.______

______

10.______

______

11.______

12. ______

PARTICIPANT SHEET (USE THIS SHEET FOR ADD ON)

EVENT: ______Session 1___ - Session 2___

Grade Group: ______, Age 19-25______, Adult:______

1.  ______

2. ______

3. ______

4.  ______

5. ______

6.  ______

7. ______

8. ______

9.  ______

10. ______

11. ______

12. ______

13. ______

14. ______

15. ______

16. ______

17. ______

Children's Church Sign in Sheet (1st Page)

Date: ______

Please print Childs name first, followed by parent/guardians name, District, and Church

1.

______

2.

______

3.

______

4.

______

5.

______

6.

______

7.

______

8.

______

9.______

10.______

______

Children's Church Sign in Sheet (2nd page)

Date: ______

Please print Childs name first, followed by parent/guardians name, District, and Church

10.

______

11.

______

12.

______

13.

______

14.

______

15.

______

16.

______

17.

______

18.

______

Church Banner Awards Form

Church District Pastor No. of attendants

Smaller Church: C=1-25 members

Small Church: B=25 or more members

Medium Church: A=75 or more members

Large Church: AA=250 or more members

______

Larger Church: AAA=500 or more members

______


Youth in Action

Competitive Events Awards Forms

Date: ______Session: ______

Category: ______

Age or Grade: ______

3rd Place: ______District: ______

Church: ______

Pastor: ______

2nd Place: ______

District: ______

Church: ______

Pastor: ______

1st Place: ______

District: ______

Church: ______

Pastor: ______

Coordinator Signature: ______

Lunch Time Count

Event: ______

Number of Coordinator & Helpers: ______

Lunch Time Count

Event: ______

Number of Coordinator & Helpers: ______

Lunch Count

Event: ______

Number of Coordinator & Helpers: ______

Lunch Count

Event: ______

Number of Coordinator & Helpers: ______

YOUTH in ACTION

COMPETITIVE EVENTS SUMMERY SHEET

DATE: ______

CONTESTANT: ______

Church: ______

Pastor: ______

District: ______

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YOUTH in ACTION

COMPETITIVE EVENTS SUMMERY SHEET

DATE: ______

CONTESTANT: ______

Church: ______

Pastor: ______

District: ______

Scoring Sheet for Bible Recitation

DATE: ______

SCORE: ______

DISTRICT: ______

Scoring Sheet for Bible Recitation

DATE: ______

SCORE: ______

DISTRICT: ______

SCORING SHEET for SPELLING

DATE: ______

______SESSION I ______SESSION II GRADE: ______

SCORING SHEET for SPELLING

DATE: ______

______SESSION I ______SESSION II GRADE: ______

SCORING SHEET for BIBLE RECITATION

DATE: ______

______SESSION I ______SESSION II GRADE: ______

JUDGE : ______

Classifications:

A.  Memorization - Recall

B.  Expression - Voice Articulation

C.  Enthusiasm - Zeal

D. Convection - Belief

Key:

N - Did not meet expectations

Y - Meet expectations

E - Exceeded expectations

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SCORING SHEET for BIBLE RECITATION

DATE: ______

______SESSION I ______SESSION II GRADE: ______

JUDGE: ______

Classifications:

A.  Memorization - Recall

B.  Expression - Voice Articulation

C.  Enthusiasm - Zeal

D. Convection - Belief

Key:

N - Did not meet expectations

Y - Meet expectations

E - Exceeded expectations

SCORING SHEET for MATH

DATE: ______

Judge: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

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SCORING SHEET for MATH

DATE: ______

Judge: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

SPELLING ANSWER SHEET FOR GRADES ______

DATE: ______

ACTIVITY LEADER: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

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SPELLING ANSWER SHEET FOR GRADES ______

DATE: ______

ACTIVITY LEADER: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

______ANSWER SHEET FOR GRADES ______

DATE: ______

ACTIVITY LEADER: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

TIE BREAKER______

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______ANSWER SHEET FOR GRADES ______

DATE: ______

ACTIVITY LEADER: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

TIE BREAKER______

District Competition

Scoring Sheet for ______

DATE: ______

SCORE: ______

DISTRICT: ______

JUNIOR: ______SENIOR: ______

TIE BREAKER: ______

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District Competition

Scoring Sheet for ______

DATE: ______

SCORE: ______

DISTRICT: ______

JUNIOR: ______SENIOR: ______

TIE BREAKER: ______

YIA Day

Event:______Session:______

GENERAL JUDGE LIST SHEET

Judge #1

Church: ______

Pastor: ______

District: ______

Judge #2

Church: ______

Pastor: ______

District: ______

Judge #3

Church: ______

Pastor: ______

District: ______

General Scoring Sheet Date: ______

______Session I ______Session II Grade:______

Contestants Name #Correct #Wrong Total Score

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

______

Signature (Activity Leader)

Grievance Form Date: ______

Name of Contestant: ______

Event: ______ Grade: ______Session: ______

Church Name: ______

Pastor's Name: ______

Filed By: ______

Grievance Statement: ______

______

______

______

______

Resolution: ______

______

______

______

______

Satisfied ______Not Satisfied ______

______

Signature (Activity Leader)

Scholastic Motivation Ministries President: ______

Event Coordinator: ______

Filer: ______

Name of Judge: ______

Northern Georgia Second Ecclesiastical Jurisdiction

Scholastic Motivation Ministries Department

Oratorical Competition

Scoring Sheet

Name

Church

Age

Circle One: Session I or II

Please score each category on a scale from 1 – 10.

Organization of Speech

Articulation of Words

Voice

Memorization

Stage presence

Directness

Enthusiasm

Bodily Action

Eye Contact

Pace

Total Points

Running Time of Speech

Impromptu Speech (overall score of 1-10)

SPELLING BEE

DATE: ______

ROUNDKEEPER FORM for (ROUND KEEPER JUDGE)

Please only print of this form

Name of JUDGE: ______

DISTRICT: ______

Grade Level: ______Session # ______

RECORDING EQUIPMENT: FLIP CHART

The Round keeper will:

1)  Keep a running record of the rounds.

2)  Watch the order of Contestants.

3)  Give careful attention to who begins each round. [The new round begins when the last contestant spells a word correctly]

4)  Staple this form to the FLIP CHART PAGES

NOTE: The eliminated contestant reports to you or your helper. Upon the completion of the elimination round - send the eliminated contestant to the holding area.

SPELLING ANSWER SHEET FOR: GRADES ______

DATE: ______

ACTIVITY LEADER: ______

______SESSION I ______SESSION II GRADE: ______

SCORING SHEET for TIE BREAKER

DATE: ______

EVENT: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

Number Correct: ______

Tie Breaker Correct: ______

Total: ______

MATH ANSWER SHEET FOR: GRADES ______

DATE: ______

ACTIVITY LEADER: ______

______SESSION I ______SESSION II GRADE: ______

SCORING SHEET for TIE BREAKER

DATE: ______

EVENT: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

Number Correct: ______

Tie Breaker Correct: ______

Total: ______

BIBLE RECITATION ANSWER SHEET FOR

GRADES: ______

DATE: ______

ACTIVITY LEADER: ______

______SESSION I ______SESSION II GRADE: ______

SCORING SHEET for TIE BREAKER

DATE: ______

EVENT: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

Number Correct: ______

Tie Breaker Correct: ______

Total: ______

ANSWER SHEET FOR: GRADES ______

DATE: ______

ACTIVITY LEADER: ______

______SESSION I ______SESSION II GRADE: ______

SCORING SHEET for TIE BREAKER

DATE: ______

EVENT: ______

CONTESTANT: ______

______SESSION I ______SESSION II GRADE: ______

6.  ______

7.  ______

8.  ______

9.  ______

10.  ______

Number Correct: ______

Tie Breaker Correct: ______

Total: ______