Teen Event Request

Your Information

* = Required field
Name* Email* Phone*

City* State/Province* Country*
Group size* to        Host Organization* Venue Type*

The Event

Requested date*:      Requested time*:

Type of Event

Faith-basedValues-basedI don't know

Ages of Attendees*

8-1010-1211-1314-1819-25Leader Event

Length of Event

25 minutes45 minutes1 hour1.5 hours3-5 hours5-7 hoursCampWeekend RetreatSchool Chapel ServiceOther (please explain in comments)

Will this event be conducted in English?

Is English the first language of your group?

Additional comments:

The Content

Please pick your top three choices in your preferred topic section. We will do our best to focus on those areas during the event.

Note: We talk about sensitive subjects that teens and tweens face. As a team, our goal is not to shock or introduce inappropriate content to your group, but to address the issues they are already seeing or experiencing. Based on our communication with your leaders we will be sensitive to the maturity level of your group and adjust our session information accordingly.



Call & Destiny




Known challenges your group faces:

Going deeper...
MentoringHopes and dreamsSmall beginningsStaying on trackSelf confidenceApathyTime wastingEntitlement

Known challenges your group faces:
AnonymityYouTubeTime limitsMusicSextingPornBullyingVideo gamesAccountabilityBooks (ebook, eReader)PhonesMoviesApps

Leadership Survey

Your Group

Describe your group:

What is the emotional state of the youth in your group?

Why is your group unique?

Do you meet regularly?


What is your approximate leader to student ratio?
We have 1 leader for every students.

Describe the leaders in your group:

Your Church/Organization

Have you ever talked about these topics before? (what if any of these topics have you presented previously)

Church background or denomination:

About YOU

Describe your role as a leader:

What is the contact information for your pastor or supervisor?:

What (if any) followup do you have planned after our session?:

The Venue

Describe the venue:

Please type what you see in the box above:

Get in touch:

PO Box 1353 Monument, CO 80132
Email: [email protected]



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