Name of Student _________________________________ Program Year ____________

Covenant of Participation

[insert name of church here]

Student's Part

I, the undersigned, in order to satisfy the requirements of catechetical instruction for full membership in this congregation, hereby pledge the following:

[insert list of responsibilities here]

StudentÕs signature __________________________________________________________

Parents' Part

I, the undersigned, hereby pledge the following:

I will faithfully encourage and assist my child to fulfill the terms of this Covenant.

I will participate in my childÕs learning in the manner requested by the leaders.

In the unlikely event that my child becomes disrespectful, disruptive or unruly, I request that the leaders of the program __________________________________________________.

Signature of Parent (or Sponsoring Adult) ___________________________________________

Leader's Part

I, the undersigned, hereby pledge the following:

I will regularly attend meetings and events for the purpose of providing leadership.

I will help create an accepting, affirming and orderly atmosphere for students.

I will pray for my students, that they may learn and grow in faith in Jesus Christ.

I will make the necessary commitments of time and energy to fulfill these promises.

LeaderÕs signature __________________________________________________________