Youth Ministry Name

Comments/Questions

Church Name

Youth Pastors Name

Pastors Name

Church Address

City, Zip, State

Church Web Site

Church Number

Youth Web Site

Church E-Mail

Youth E-Mail

Church Service, Days and Times

Youth Service, Days and Times

* Required Field

Dear Senior or Youth Pastor we want to thank you for your interest in Xtreme Passion. As a registered Church and Youth Group you will be listed as one of our affiliated churches. You will be given the
e-mail addresses of registered teens in your area that do not attend a local youth ministry and receive monthly
articles for youth and youth ministers via e-mail. You will also receive updates for all Xtreme Passion events and rallies. For any local events that your youth ministry is putting on, e-mail Xtreme Passion with the information and Xtreme Passion will e-mail all of the registered affiliated churches/youth groups and teens in your area. If you have any questions or comments, please e-mail them to info@xtremepassion.org.
Thank You for your participation.

Please fill out this form and submit it.

** If you have a church and or youth ministry logo please email it to info@Xtremepassion.org  Thank You **