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YOUTH - Full Weekend Registration

Convention 2010
Take Up Your Cross and Follow Me

The Registration Form Below is for a FULL WEEKEND, if you would like to register for part of the weekend, or wish to make your own accommodation arrangements, please click here.
Complete ONE FORM FOR EVERY registrant.
Registration Deadline: June 2, 2010

To Register: Fill in the fields below and hit SUBMIT at the bottom of the form

Registrant Information:
First Name:
Last Name:
Preferred Badge Name:

E-Mail:

Street Address:
City:
State:
Zip/ Postal Code:
Home Phone: Cell Phone:
Proper format (xxx)xxx-xxxx

Church (Church & City) :

Registration Category: (select one)

Youth 12-18 Youth 5 - 11

Current Grade:

Full Weekend Registration Rates: (choose one)
Select one radio button that corresponds with the day(s) and enter the amount
that corresponds with correct fee category at the bottom of the page.

Full Weekend: Youth 12 - 18 ($100.00)
Full Weekend Youth 12 - 18 with Friday Lunch: ($109.00)
Full Weekend: Youth 5 - 11 ($60.00)
Full Weekend Youth 5 - 11 with Friday Lunch: ($66.00)

Full Weekend include lodging, refreshment breaks, workshops, activities, and all meals starting at dinner Friday evening and going through Sunday lunch.

Youth attending the Youth Rally will need to bring a sleeping bag, towel, pillow and toiletries.

Youth 11 years of age and under will be housed with their parent(s) or guardian(s).

Total: Please do not enter a dollar sign

Credit Cards: We accept most major credit cards.
Hit the SUBMIT button to enter your credit card information

To Register hit and fill in your credit card information with our secure payment option

Before hitting submit, please print for your records.

HOW TO REGISTER:
Everyone coming to any part of convention must fill out a form
(either Adult or Youth form) ONLY PREPAID RESERVATIONS WILL BE ACCEPTED.
DUE BY NOON, June 2, 2010. NO REFUNDS AFTER June 7, 2010.

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