First Name
Last Name
E-Mail Address
Phone
Conference Fees
▪ National Young People's Department Officials ($250)
▪ Young People Ages 21-35 ($150)
▪ Young People Ages 20 and under ($55)
▪ Mens Department ($100)
▪ Womens Department ($50)
Bus Registration
▪ Headquarters Roundtrip ($175)
▪ Maryland Roundtrip ($125)
▪ Headquarters One-way ($125)
▪ Maryland One-way ($75)
Battle of the Districts
Only those who fill out this form will be allowed to participate. Only 10-15 members allowed from each District. Registering means participation in Kickball at the Outing and The Showdown on Saturday. Ages 10-35 take priority but All may register and participate.
I would like to register for Battle of the Districts.
Yes
No
Validation error displays here
Activities $10 Bus fee, if seats are available.
Paint in Praise - Wednesday, 7/16 ($25)
$ Enter the names and ages for each ticket.
Bible Project: Identity (Online) - Thursday, 7/17 (Free)
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How many "Bible Project" tickets?
Between 0 and 50. # Enter the names and ages for each ticket.
The Outing - Thursday, 7/17 ($15)
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How many "The Outing" tickets?
Between 0 and 50. $ Enter the names and ages for each ticket.
Activate Games(Age 14 and over) - Thursday, 7/17 ($25)
$ Enter the names and ages for each ticket.
Sealife-Charlotte - Friday, 7/18 ($20)
$ Enter the names and ages for each ticket.
Pick Your Box and Brunch (Age 21-35) - Friday, 7/18 ($35) Please note, there is no bus transportation for this event/activity.
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How many "Box and Brunch" tickets?
Between 0 and 50. $ Enter the names and ages for each ticket.
Billy Graham Library - Saturday, 7/19 (Free)
# Enter the names and ages for each ticket.
The Showdown: Millionaire Style - Saturday, 7/19 ($20)
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How many "The Showdown" tickets?
Between 0 and 50. $ Enter the names and ages for each ticket.
Total Donation Amount: $
Additional Comments
Please enter an amount for an item above.