We are a church in Arlington that connects people to God, to others and to the needs of the world.
Who We Are
Sundays
Leadership
What We Believe
Restoration 2025
Contact Us
Connect
Small Groups
Events
Volunteer
Membership
Sacramental Life
Ministries
Outreach
Children
Apex/Youth
RestoMen
RestoWomen
RestoArts
Race + Reconciliation
Spiritual Direction
Clergy Development
Resources
Sermons
Pray & Ponder
Prayer Guide
Videos
Blog
Give & Take
CCB Login
Planning Center Login
Restoration is Hiring!
Give
Credit Card
Bank Account
CCB Login
APEX Registration
Register your student for Apex 2023-2024.
Apex Registration Form
Step
1
of
3
33%
Participant Name
*
Participant Email
*
Participant Birth Date
*
MM slash DD slash YYYY
What school does your child attend?
*
Grade Level
*
6th
7th
8th
HS Freshman
HS Sophomore
HS Junior
HS Senior
What size t-shirt is your student?
*
Small
Medium
Large
XL
Adult sizes listed.
May APEX leaders initiate email/text/phone conversations with Participant 1?
*
Yes, per the guidelines below, I am comfortable with my student's small group leaders and Apex staff initiating electronic communication with my student
Yes, but please include me on any communication pertaining to making plans outside of Apex
Yes, but include me on any and all communication between leader(s) and my student
No, I am not comfortable with my student's small group leaders or Apex staff initiating any electronic communication with my student
As part of our small group ministry to students, we seek to foster good, healthy, and safe patterns of communication between both leaders (including Apex staff and Apex volunteer small group leaders) and students. To that end, there are the following guidelines for electronic communication between leaders and students: Apex leaders (including Apex staff and Apex volunteer small group leaders) may initiate email/text/phone conversation with a student when permission has been granted by the student’s parent or guardian. Only Apex leaders of the same gender may initiate an email/text/phone conversation with a student (i.e. Female Apex leader to Female Apex student). If a student reaches out directly to an Apex leader who is of a different gender, that leader will always copy another Apex leader of the same gender as the student in their reply to that student. By answering this question, you can indicate to Apex staff and volunteers how you prefer they communicate with your student outside of Apex.
What is Participant 1's phone number?
*
What is Participant 1's Address?
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Do you need to register another participant?
Yes
No
Participant 2
Participant 2 Name
*
Participant 2 Email
*
Participant 2 Phone (if applicable)
Participant 2 Birth Date
*
MM slash DD slash YYYY
What school does Participant 2 attend?
Grade Level
*
6th
7th
8th
HS Freshman
HS Sophomore
HS Junior
HS Senior
What size t-shirt is your student?
*
Small
Medium
Large
XL
Adult sizes listed.
May APEX leaders initiate email/text/phone conversations with Participant 2?
*
Yes, per the guidelines below, I am comfortable with my student's small group leaders and Apex staff initiating electronic communication with my student
Yes, but please include me on any communication pertaining to making plans outside of Apex
Yes, but include me on any and all communication between leader(s) and my student
No, I am not comfortable with my student's small group leaders or Apex staff initiating any electronic communication with my student
As part of our small group ministry to students, we seek to foster good, healthy, and safe patterns of communication between both leaders (including Apex staff and Apex volunteer small group leaders) and students. To that end, there are the following guidelines for electronic communication between leaders and students: Apex leaders (including Apex staff and Apex volunteer small group leaders) may initiate email/text/phone conversation with a student when permission has been granted by the student’s parent or guardian. Only Apex leaders of the same gender may initiate an email/text/phone conversation with a student (i.e. Female Apex leader to Female Apex student). If a student reaches out directly to an Apex leader who is of a different gender, that leader will always copy another Apex leader of the same gender as the student in their reply to that student. By answering this question, you can indicate to Apex staff and volunteers how you prefer they communicate with your student outside of Apex.
What is Participant 2's phone number?
*
What is Participant 2's Address?
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Do you need to register another participant?
Yes
No
Participant 3
Participant 3 Name
*
Participant 3 Birth Date
*
MM slash DD slash YYYY
Participant 3 Email
What school does Participant 3 attend?
*
Grade Level
*
6th
7th
8th
HS Freshman
HS Sophomore
HS Junior
HS Senior
What size t-shirt is your student?
*
Small
Medium
Large
XL
Adult sizes listed.
May APEX leaders initiate email/text/phone conversations with Participant 3?
*
Yes, per the guidelines below, I am comfortable with my student's small group leaders and Apex staff initiating electronic communication with my student
Yes, but include me on any and all communication between leader(s) and my student
Yes, but please include me on any communication pertaining to making plans outside of Apex
No, I am not comfortable with my student's small group leaders or Apex staff initiating any electronic communication with my student
As part of our small group ministry to students, we seek to foster good, healthy, and safe patterns of communication between both leaders (including Apex staff and Apex volunteer small group leaders) and students. To that end, there are the following guidelines for electronic communication between leaders and students: Apex leaders (including Apex staff and Apex volunteer small group leaders) may initiate email/text/phone conversation with a student when permission has been granted by the student’s parent or guardian. Only Apex leaders of the same gender may initiate an email/text/phone conversation with a student (i.e. Female Apex leader to Female Apex student). If a student reaches out directly to an Apex leader who is of a different gender, that leader will always copy another Apex leader of the same gender as the student in their reply to that student. By answering this question, you can indicate to Apex staff and volunteers how you prefer they communicate with your student outside of Apex.
What is Participant 3's phone number?
*
What is Participant 3's Address?
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Parental Permission and Medical Authorization Form
Parent or Guardian Name
*
First
Last
Email
*
Home / Cell Phone
*
Work Phone
Would you like to add an additional parent or guardian?
Yes
No
Additional Parent or Guardian
Parent or Guardian Name
*
First
Last
Email
*
Home / Cell Phone
*
Work Phone
Emergency Contact
*
First
Last
Emergency Contact Phone Number
*
Relationship to Participant
*
General Permissions
I give permission for my child(ren) to attend the events, field trips, and service projects associated with Restoration Anglican Church's Youth Group (APEX) of Arlington, Virginia. I further give permission for my child(ren) to be transported to and from events by hired and volunteer drivers authorized by Restoration Anglican Church.
*
Yes
No
By choosing "no," your child(ren) will only be able to participate in activities that take place at Restoration Anglican Church. Please keep in mind that throughout the course of the year, there are many activities, service projects and events that take place off-site.
I further give permission for my child to participate in all supervised activities except as noted:
You can address the needs of each child in this section; just please clearly state which one you're speaking about.
I give permission for pictures/videos, in which my child appears as a program participant, to be used in APEX brochures, flyers, social media, and/or other promotional materials published and distributed by Restoration Anglican Church.
*
Yes
No
Medical Release
In the event of an emergency, I hereby authorize the Restoration Anglican Church Youth Group leaders, hospitals, licensed medical or dental providers, and their agents and employees to have access to the information contained in the form and to provide all medical or dental care, routine tests, treatment, and necessary transpiration advisable for the health and safety of my child. This authorization includes the authority to consent to any x-ray examinations, imaging, anesthetic, medical procedure or treatment, and hospital care under the supervision, and upon jurisdiction where the medical services are being rendered to my child.
*
Yes
No
If you have multiple children and would like to exclude just one from the above agreement, or have a unique situation, please email apex@restorationarlington.org to reach APEX staff.
I further authorize the Restoration Anglican Church Youth Group leaders to receive physical custody of my child upon completion of any treatment, and I specifically instruct any treating health facility to surrender physical custody of my child to said adult.
*
Yes
No
If you have multiple children and would like to exclude just one from the above agreement, or have a unique situation, please email apex@restorationarlington.org to reach APEX staff.
Initials
*
Today's Date
*
MM slash DD slash YYYY
Is the participant under a healthcare plan?
Yes
No
Health Care Information
Physician Name
First
Last
Physician Phone
Medical Insurance Company
Policy/Group Number
Agreement
In consideration of Restoration Anglican Church determining the need for, and type of, diagnosis, treatment, or medical care (if any), I/We release Restoration Anglican Church from any and all liability whatsoever for bodily injuries, property damage, or other claims sustained during or related to the diagnosis, treatment, and medical care. I/We also agree to indemnify Restoration Anglican Church and/or its agents for, and hold Restoration Anglican Church and/or its agents harmless from, any and all claims or suits brought by any person or entity to the extent of any and all costs, expenses, damages, judgments, verdicts, and/or attorneys’ fees.
*
Yes
No
By selecting "no," there will be some off-site activities your child will not be able to participate in.
Allergy, Medication, and Limitation Disclosure
Please list any allergies to drugs, foods, plants, insects, etc that the participant(s) may have:
Please list these for each child if you have multiple.
Please list any prescription medication to be taken by the participant(s) (Including what it is taken for, when it is to be taken, dosage information, and any special procedures):
Please list these for each child if you have multiple.
Please list any non-prescription (over-the-counter) medication you do NOT want dispensed to the participant(s):
Please list any additional information relevant to participating in Restoration Anglican Church Youth group activities (dietary needs; surgeries or serious injuries; chronic of recurring illness; medical conditions such as epilepsy or diabetes; psychiatric counseling or indications, etc.):
Please list these for each child if you have multiple.
Δ
Contact Us
Name
*
Email
*
Message
*
Captcha
*
Submit
Contact Us
Name
*
Email
*
Message
*
Captcha
*
Submit