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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
ONLINE
Online Church
Facebook Stream
Message Archive
Give
ABOUT
WHO WE ARE
Our Network
Connect
eConnect Card
eTeams
eGroups
Prayer Request
Volunteer Calendar
Next Generation
eKids