Youth Conference YOUTH Sign Up Form

45th Annual Southeastern Youth for Christ Conference (YFCC) Youth Sign Up Form

Theme: Keeping Pace with my Potential 2 Timothy 4:3-8. Please fill out the form carefully for registration. Child must be in Grade 5 through Grade 12. Youth Conference dates are July 14-18, 2025 at Valdosta State University in Valdosta, GA. Parents/Guardians: Sign up regardless of your ability to pay the required registration fees. We encourage each participant to participate in the upcoming fundraising activities to help offset costs. - Elder David Bishop and Youth Minister Warren Blakney.
Youth Conference Fees:
- 10-12 years – $305
- 13-17 years – $325
- 18 years and older – $350
Includes meals, lodging, and transportation to and from the conference.

$50 Deposit due by 5.11.2025

Final Payment due by 6.15.2025

Note: All registration is being coordinated by the Renaissance YIA who will register all of our participants.
Parent/Guardian Name *

First NameLast Name
Parent/Guardian E-mail*
Parent/Guardian Phone Number*

Area CodePhone Number
Second Parent/Guardian Name

First NameLast Name
Second Parent/Guardian E-mail
example@example.com
Second Parent/Guardian Phone Number

Area CodePhone Number
Child 1 Full Name*

First NameLast Name
Child 1 Age*
Date of Birth (Ex: 01/02/1999)*
Do you have any special requests, allergens or dietary restrictions?*
If none, type None.
T-shirt size (Ex: Adult Medium or Youth Small)*
Child 2 Full Name

First NameLast Name
Child 2 Age
Date of Birth (Ex: 01/02/1999)
Do you have any special requests, allergens or dietary restrictions?
If none, type None.
T-shirt size (Ex: Adult Medium or Youth Small)
Child 3 Full Name

First NameLast Name
Child 3 Age
Date of Birth (Ex: 01/02/1999)
Do you have any special requests, allergens or dietary restrictions?
If none, type None.
T-shirt size (Ex: Adult Medium or Youth Small)
Activities of Interest CHILD 1 (Please select all activities your child is interested in. Please note that Bible Bowl is MANDATORY for all youth attendees.)*

Spelling BeeSpeech competitionArt competitionFashion ShowBasketballVolleyballTrack and FieldDevotion (males only)
Activities of Interest CHILD 2 (Please select all activities your child is interested in. Please note that Bible Bowl is MANDATORY for all youth attendees.)

Spelling BeeSpeech competitionArt competitionFashion ShowBasketballVolleyballTrack and FieldDevotion (males only)
Activities of Interest CHILD 3 (Please select all activities your child is interested in. Please note that Bible Bowl is MANDATORY for all youth attendees.)

Spelling BeeSpeech competitionArt competitionFashion ShowBasketballVolleyballTrack and FieldDevotion (males only)
Scholarship Foundation (High School Seniors ONLY can apply). Please check appropriate scholarship below if your child in interested in applying. A member of YIA will be contacting you regarding Guidelines and Criteria. Deadline to apply is May 27, 2025.

J.L. Sermons Memorial ScholarshipWalter Cox Jr. Memorial Scholarship
What medications need to be administered to your child(ren). Please indicate the medication and if your child or our medical person will administer the medications. (Your information will only be shared with our medical person and adult leaders.)*
If none, type None.
I acknowledge that a trained medical professional will attend this event from beginning to end and is tasked with providing medical aid, care, and advice.*

Acknowledge
Registration Payment:

To make your registration payment(s), click or tap the Submit Form and Pay button below. You will be directed to the payment portal. Enter the appropriate payment for the age category in the Youth in Action line item, then complete the required fields to finalize your payment. Please remember to capture a screenshot of your payment receipt for your records.

Contact David Bishop regarding payment challenges you may be facing. We will work with you.
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45th Annual Southeastern Youth for Christ Conference (YFCC) Youth Sign Up Form