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Personal Information

I wish to attend Joshua Generation *

July 8 - 24 2022 (State-Side)

August 4 - 17 2022 (International)

First Name *

Last Name *

Upload a current photo *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Sex *

Female

Male

Birthdate * +

Shirt Size *

Emergency Contact Information

Father's Information

First Name *

Last Name *

Father's Phone Number *

Mother's Information

First Name *

Last Name *

Mother's Phone Number *

Parent Email *

Emergency Contact #1

First Name *

Last Name *

Relationship *

Phone Number *

Emergency Contact #2

First Name *

Last Name *

Relationship *

Phone Number *

School & Church Information

School Name *

School Grade *

Home Church *

# of Years Attended *

Pastor's First Name *

Pastor's Last Name *

Pastor's Email Address *

Church Street Address *

Address Line 2

City *

State *

Zip Code *

YWAM Involvement

Have you been involved in JG before? *

Yes

No

How many years? *

Which base are you associated with? *

How did you hear about JG? *

Supplemental Questions

Why do you want to participate in Joshua Generation this summer? (i.e. a youth leader or spiritual mentor, God leading or guiding you in this direction in some way, a desire for growth in your walk with him or call to be more missional) *

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How long have you been a Christian, when did you decide to follow God and make your walk with him your own? What was that experience like for you and what led you to that decision? *

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Have you had any missions or ministry experience outside of YWAM if so where and in what types of ministry were/ are you involved with? *

How has your relationship with God been for the past year? In what ways have you grown, what are your current struggles, What scriptures or teachings have most shaped your walk with God this past year? *

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If you attended JG last year, what made the biggest impact on you and how have you applied those things into your daily walk with God?

If this is your first year attending Joshua Generation what are you most praying for God to do in and through you during this experience?

What are you most looking forward to about the Joshua Generation Boot camp? (i.e. the first week of teaching, training, worship and team building) *

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What are you most looking forward to during the Joshua Generation outreach (ie the second week of going all over the Eastern United States to put into practice all you have learned and preach the Gospel) *

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Medical Information

Are you currently under a doctor's care for any condition? *

Yes

No

Please explain. *

Are you currently taking any medication? *

Yes

No

Please explain. *

Do you have any food allergies or dietary requirements? *

Yes

No

Please explain. *

Do you have any food allergies or dietary requirements? *

Yes

No

Please explain. *

Females Only - Do you have any of the following? *

	Yes	No
Irregular Periods	Yes	No
Severe Cramps	Yes	No
Excessive Flow	Yes	No

Personal History - Please mark any of the following that you have had or currently have now: *

	Yes	No
Skin conditions	Yes	No
Ear trouble	Yes	No
Eye trouble	Yes	No
Head injury	Yes	No
Recurrent headaches	Yes	No
Epilepsy	Yes	No
Fainting spells	Yes	No
Mental disorders	Yes	No
Nervous disorders	Yes	No
Weakness	Yes	No
Paralysis	Yes	No
Insomnia	Yes	No
Allergies	Yes	No
Penicillin allergy	Yes	No
Sulphonamides allergy	Yes	No
Serum allergy	Yes	No
Chicken pox	Yes	No
Measles	Yes	No
Stomach ulcers	Yes	No
Gallbladder problems	Yes	No
Jaundice	Yes	No
Hepatitus	Yes	No
Intestinal problems	Yes	No
Recurrent diarrhea	Yes	No
Diabetes	Yes	No
Kidney disease	Yes	No
Anemia	Yes	No
Venereal disease	Yes	No
Tumor/cancer	Yes	No
Shortness of breath	Yes	No
Hay fever	Yes	No
Asthma	Yes	No
Heart trouble	Yes	No
High blood pressure	Yes	No
Low blood pressure	Yes	No
Rheumatism	Yes	No
Arthritis	Yes	No
Back problems	Yes	No
Dislocation of joints	Yes	No
Broken bones	Yes	No
Eating disorders	Yes	No
Anorexia nervosa	Yes	No
Bulimia	Yes	No
Surgery	Yes	No
Appendectomy	Yes	No
Hernia repair	Yes	No
Tonsillectomy	Yes	No
Scarlet fever	Yes	No
Tuberculosis	Yes	No
Mumps	Yes	No

Name of health insurance company. *

Policy Number *

Medical Permission: In case of an emergency, I give permission to Joshua Generation's leadership authorities and its representatives to obtain medical treatment for my child in my absence. *

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Parent/guardian's printed name *

Application Fee

Please submit payment and then continue to the parent release.

Release Form

PARENT RELEASE

Joshua Generation will be hosted at YWAM Greater Philadelphia, 7500 Germantown Rd, Philadelphia, PA, 19119, USA

I hereby certify that my child has permission to participate in the 2021 YWAM Joshua Generation bootcamp and outreach programs from July 9th-24th.

I agree and do hereby release and discharge any person engaged in the activity described above from all claims, present, and future, known and unknown. In any manner arising out of the described activity, I further understand and agree this release shall hold harmless any leader or other person engaged in the activity described above from any and all liability relating to my child and from all personal injury or illness that my child may suffer. I, furthermore, agree to hold them harmless from any loss of property that may occur to my child during the activity described above.

PARENT RELEASE

Joshua Generation will be hosted at YWAM Greater Philadelphia, 7500 Germantown Rd, Philadelphia, PA, 19119, USA

I hereby certify that my child has permission to participate in the 2021 YWAM Joshua Generation bootcamp and outreach programs from August 4th-17th.

I agree and do hereby release and discharge any person engaged in the activity described above from all claims, present, and future, known and unknown. In any manner arising out of the described activity, I further understand and agree this release shall hold harmless any leader or other person engaged in the activity described above from any and all liability relating to my child and from all personal injury or illness that my child may suffer. I, furthermore, agree to hold them harmless from any loss of property that may occur to my child during the activity described above.

Joshua Generation has my permission to take and upload photos of my child on the YWAM Boston, Philadelphia, and Pittsburgh's website and social media pages. *

Yes

No

Parent/Guardian's Signature *

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Participant's Signature

PARTICIPANT'S SIGNATURE

I have read the JG application and am familiar and responsible for all the information it contains. I promise to adhere to all guidelines and instructions given by my leaders.

Participant's Signature *

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