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YOUTH CONFERENCE REGISTRATION
Basic Information.
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
I am a
*
Middle School Student
High School Student
Parent / Guardian
YTH Leader
Select One
*
I am registering for Youth Conference
I want to serve as a leader
Emergency Contact Information.
Name - Option #1
*
First
Last
Phone Number
*
Name - Option #2
*
First
Last
Phone Number
*
Please list any known allergies?
*
Please list any Medication
*
Almost Done.
Select One
*
I have read & signed the Code of Conduct
I have not read the Code of Conduct
I need another copy of the Code of Conduct
I have questions about the Code of Conduct
When it comes to paying for my registration,
*
I can pay the full amount
I can pay a partial amount
I need a scholarship
Submit
Home
ABOUT EMMAUS
New Here?
eConnect Card
Journey at Emmaus
Our Team
Our Network
Our Ministry Partners
ONLINE
Online Service Stream
Past Sermon Archives
Give
Ministries
eKids
eTeams
eGroups
CARE at Emmaus