Pen Pal Directory Application
The SKY Connections Directory is a way for Sabbath Keeping Youth
to get connected. To be apart of it, print and fill out the form. Have
your parents sign the consent form and return it to the address below.
It cannot be e-mailed in. All the information will be used in the latest
directory and you will be sent a SKY Connection Directory. Get to know
other Sabbath Keeping Youth around the world!
Mail to:
The Church of God, International, ATTN: Youth Program Dept., 22525 State Hwy 155 S, Flint, TX 75762
Fill in the Directory Information:
First name:
Middle:
Last:
___________________________________________________________________________________
Address/P.O. Box:
Apt No.:
___________________________________________________________________________________
City:
State/Province:
Zip/Postal code:
___________________________________________________________________________________
Country:
Email Address:
___________________________________________________________________________________
Telephone Number:
Birth Date:
Gender (circle one):
______-________-________
______/_______/______
M F
month day year
Interests, hobbies, and goals:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Parental Consent:
I am the parent/legal guardian of the child whose name appears above. By signing this form, I acknowledge The Church of God, International has my permission to publish the above information in the SKY Connections Directory.
__________________________________________________________
Parent/legal guardian signature
___________________
Date