YC24 Registration
New Life Church, Louisville (November 15-16, 2024)
Youth Pastor/Leader Name
First Name
Last Name
Lead/Senior Pastor Name
First Name
Last Name
Church City/Name
Leader Cell Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
# of Leaders Attending
# of Students Attending
Total Owed (# of Students + Leaders x $75)
What Hotel/Accommodations are you staying at?
Do you have any students who have raised $1000 + for STL? Please list their names and their amounts!
Are you planning to take your group to Main Event on Friday Night?
Acknowledgment
I agree to follow the guidelines, rules, and policies of the organization.
I allow my child to be photographed or be part of the video that will be used for marketing, promotion, and advertisements.
I allow my child to ride any vehicle that is related to the group's activities provided that there's an adult on board.
For medical emergencies, I allow the medical team of this organization to take care of my child.
I release this organization from any and all liability from accident or injury to the child during the organization related events.
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