Join Journey at Freedom for Youth!

Journey is for students in grades 9 through 12 (in the fall 2024). Sign up below to take part in all the fun at our main Hickman Road campus in Des Moines this fall! An application must be completed for each student. Signing multiple students through one application is not an option.

If student doesn’t show for 2 straight weeks. Kourtlin will call parents and give them a 3rd week to show up, if they don’t show their spot will be given up to a new student on the waiting list.

Students will be supervised by our Freedom staff and volunteers. Activities will be led by our Youth Managers who will facilitate each program. If you have any questions you can reach out to Kourtlin at 515-708-7457 or email kjackson@freedomforyouth.org.

Name

First Name

Last Name

Gender

Birthday

YYYY

School

Grade in school (fall 2023)

Langage spoken at home, if not English

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (or guardian's phone)

(###)

###

####

Allergies (if applicable)

Do you attend church?

If YES, which church do you attend?

Line

Parent/Guardian Permission

By checking this box and providing my information below, I give my child permission to participate in activities with adult supervision as listed above and therefore remove all liability and responsibility from Freedom for Youth Ministries

Parent or Guardian Name

First Name

Last Name

Parent or Guardian Email

Parent or Guardian Phone

(###)

###

####

Join Journey at Freedom for Youth!

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