Excel South Registration Form

Excel South Registration Form

March 1, 2025
Bethany Wesleyan Church/Cherryville, PA

Registrations Due by February 20, 2025
Church Name*
Pastor's Name*
Lead Pastor
Contact Name*

PrefixFirst NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Please check all boxes that apply and select the # attending...
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Adults attending Adult Venue
$25.00 # Attending



Adult Venue presenters/Excel Committee/Volunteers(contacted by conference staff prior to the event)
$ Free # Attending



Youth attending Youth Venue
$25.00 # Attending



Youth Sponsers/Presenters attending Youth Venue(1 adult sponser for each youth group attending/additional sponsors free 1 for every 8 youth)
$ Free # Attending



Kids attending Kids' Venue
$25.00 # Attending



Kids' Venue Leaders and Volunteers(contacted by conference staff prior to the event)
$ Free # Attending



Kids attending Pre-school Venue
$25.00 # Attending



Pre-school Venue Leaders and Volunteers (contacted by conference staff prior to the event)
$ Free # Attending



Total

$0.00
Pre-school, Children & Youth Venues

If you are bringing children and/or youth, please fill in the Pre-school, Children’s & Youth Venue information on the next pages...

Children’s Venue Names (K - 5th Grade)

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Pre-School Venue Names (must be potty trained)

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Youth Venue Names (6th thru 12th Grade)

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Pre-school, Children and Youth Venue Staff

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Pre-school Venue Staff (Leaders will be contacted prior to event)
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Children’s Venue Staff (Leaders will be contacted prior to event)
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Youth Venue Staff (Leaders will be contact prior to event)

One adult sponsor can attend for free with the youth from the local church. If you have more than 8 youth attending, additional sponsors can attend with the following ratio - 1 adult sponsor/8 youth. There is no cost for serminar speakers and Excel committee members, however, they must be pre-registered.
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Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Bethany Wesleyan Church/Cherryville, PA