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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
New Here?
ONLINE
Online Service
Service Archive
Give
Next Steps
eConnect Card
Party with the Pastors
Journey
Ministries
NEXT GENERATION
eTeams
eGroups
CARE at Emmaus
Our Network
Ministry Partners