Step 1 of 4 25% 2025 MOMENTUM CONFERENCE Thursday July 10 6PM - Sat July 12 9PM Thank you for planning to attend 2025 Momentum Conference at Imani Church in West Des Moines Iowa. We are glad that you are coming. Please use this short form to register. PROVIDE YOUR NAME AND PHONE NUMBER.Name(Required) First Last Phone(Required)Email(Required) YOUR HOME CHURCH OR MINISTRY.Ministry or Church Name Here.(Required) ATTENDING AS I am a(Required) Middle_High School College OR Staff Choose Your 2025/2026 Grade Grade(Required)CHOOSE GRADE 2025-20266th grade7th grade8th grade9th grade10th grade11th grade12th gradeCollege Year(Required)CHOOSE YEAR.Freshman.Sophomore.Junior.Senior.Others.OUR CONDUCT. As an adult member of Church, you are a role model. High school and Middle students (iYouth) will look to you to set an example. We would like you to support Leadership by displaying adult conduct during the conference. Please do not use your cell phone during worship, breakout sessions or speakers. If you need to take a call or send a text for an emergency, please step outside otherwise please turn it off to avoid distractions. Tshirt College Level(Required) S M L XL XXL Registration is free but donations to offset expenses are accepted.Donations(Required) Yes No May Be later I will Pay using In_Peson Venmo Zelle Online CashApp Check Venmo @ 515 372 4866. Zelle @ 515 372 4866. Pay online at www.imanifamily.church/giveCashApp us at Joshua Kyande $ImaniTribe Make check payable to Imani Family Church. Mailing address: 815 8th Street, West Des Moines, IA 50265Have You Paid?PAYMENT STATUS _COLLEGE Yes No Payment Status Explanation_College CONFERENCE POLICIES. Youth Conference is for any student in the 6th grade all the way up to college level, that is wanting to deepen their relationship with Christ. Our conference is designed to help you have fun, connect with your fellow students build relationship with God and your fellow students. There will be time for cooperate worship and breakout session for age-appropriate teachings. Be ready to Rediscover, Renewed and Reflect Christ beyond 2023 Youth Conference. While we will do everything to meet your expectations, below are some few requirements from you please read and check the corresponding box and do not hesitate to ask if you have any question. I will prepare my heart and mind to focus on Jesus during the event. I will fast and pray for the power of God to move in my life.. Part one(Required) I have read and agree to this policy. I will not allow my friends to distract me from God’s work in my life. I will not cause distraction either. Part two(Required) I have read and agree to this policy. I will be kind and inclusive, letting others see Jesus through me. Imani Family Church has a zero tolerance for Bullying. If you don’t have something nice or positive to say, please do not share with others. Part three(Required) I have read and agree to this policy. I will turn in my phone to my chaperon during the time of service. I will use my phone during the time which will be specified by the leaders. In case of emergency, I seek help from my chaperons. Part Four(Required) I have read and agree to this policy. I will be respectful and obedient to elders, church leaders and other parent volunteers. This includes any leader from my sponsoring churchPart Five(Required) I have read and agree to this policy. understand that if I fail to meet to expectations above, I may be asked to go home. Part Six(Required) I have read and agree to this policy. Parent Contact Information & Consent.Name(Required) First Last Phone(Required)Email Does your student have any medical concerns? Medical Concern(Required) Yes. No. Medical Concern ExplanationDoes your student have any food or medical allergies? Food Allergies Concern(Required) Yes. No. Food Allergies ExplanationMay your student be given the standard does of Tylenol(650mg) or Ibuprofen(400mg) if needed? Medicine Consent(Required) Yes, I consent to both medications. No, please do not give my child any medications. In the event of an emergency, I authorize am Imani Family Church represent to obtain medical care for my child in the case that they can not reach me by telephone?Emergency Care Consent(Required) I consent to my student receiving medical care in the event of an emergency. My hospital Preference is; Hospital Preference(Required) Mercy One Pediatrics (Downtown Des Moines). Blank Children Hospital (Downtown Des Moines). Choose your preferred size of T-shirt.Tshit Size(Required) S M L XL XXL There is NO registration fee but you are welcome to make any donations. Below, please choose your preferred method to donate.Do you want to donate? Yes No May be later Feel free to donate any amount as the Lord leads you Donations(Required) CashApp Zelle Venmo Online Check In Person Please use the CashApp tag provided below to donate. Please REMEMBER to type the name of the beneficiary on "For note " of the CashApp. Most CashApp tags are acronyms and it is impossible to know who gave. Joshua Kyande $ImaniTribeZelle @ 515 372 4866. Please use Venmo at this number 515 372 4866 Donate online at www.imanifamily.church/giveWrite check payable to Imani Family Church and don't forget to sign. Mailing address is 815 8th Street, West Des Moines, IA 50021.NameThis field is for validation purposes and should be left unchanged.
