Group Registration

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Early-Bird Registration

SAVE $20

Registration prices after June 1:

$75 Standard

$125 X-Package

Day(s)

Hour(s)

Minute(s)

Second(s)

Until Early-Bird Registration Ends

Group Registration Information
Church Name*
Church City*
Registration Type*
- Early-Bird Standard ($55)
- Early-Bird X-Package ($105 – $25 product credit and $40 Spoon credit)
- One Day ($25)
- Two Days ($50)
Attendee Information
Attendees*
How many youth & young adults are you registering?
Attendee List*
List all youth (12-17) & young adult (18-28) attendees you are registering. (Registration is only charged for attendees.)
First Name Last Name Age
Group Leaders*
How many group leaders are you registering?
Leader List*
List all group leaders who will be attending, and designate if they are a youth leader (desiring to attend youth leader sessions) or solely a chaperone.
First Name Last Name Age Leader or Chaperone?
Notes
Billing Information
Name*
First Last
E-mail*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00