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It is our hope to have an up to date list of all people working with youth at the churches in our 3 Synods (Southwest CA, Pacifica, and Grand Canyon). Please fill this form out to update our record. We appreciate your partnership with us. Thank you greatly!

Youth Worker Request Form

All submissions are kept confidential. * Required fields.

Your first & last name*
Your title
Your area code & phone*
i.e. 805-123-1234
Your email address*
Your experience

Years in current position.
Years in youth ministry.

Church name
Church website
Church street address
Church city
Church state
Church zip code
Best address to reach you*
Same as church Other (below)
Street address
City
State
Zip code

Use the field on the right to
type questions or other
comments you may have.

Enter your email to join our list:
Feedback Form
Customer Feedback