YMAC@BMC Registrants

Church*

Name of Youth Leader*

Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Church Phone*

Please enter a valid phone number.

Email*

example@example.com

Make checks payable to Blue Mountain Christian University (put Youth Missions Conference on the For/Memo line).

The cost is $30 which includes the conference, a conference t-shirt, and lunch. Payment is due by Thursday, February 13. Registration after this date will still cost $30, but no conference T-shirt will be provided.

*Deadline for registration to receive a shirt is 2/1/25*

Name*

First NameLast Name

T-Shirts

Small