LIFE Conference Registration Form
Please fill out the following information for the 2022 LIFE Conference.
Personal Information
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
*
Student Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Grade
Please Select
8th
9th
10th
11th
12th
School
E-mail
*
example@example.com
Gender
Please Select
Male
Female
Family Information
Parent/Guardian 1 Name
First Name
Last Name
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Parent/Guardian 2 Name
First Name
Last Name
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Mission Trip Experience
Please list any previous summer trips you have attended with ACAC.
Are you considering full time ministry or missionary service?
Yes
No
Personal Testimony
Please write when and how you became a follower of Christ. This would include what some of the important things were that helped you make the decision.
Each of us has different habits when it comes to devotions or "quiet times" with God. Please share your current habits of spending time with God through prayer and time in His Word.
Please write a little about some of the things you are learning about yourself and your relationship to Jesus - either during devotions, at youth group, growth group, church, or wherever you encounter God on a regular basis.
Please list 3 hopes or expectations you have for this mission experience.
There are many great reasons to go on a summer missions experience - please list your top 2:
Register
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