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:______
- ______
2. ______
- ______
- ______
- ______
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: ______