Monthly Youth Outing Sign Up Form

Tri-Area Youth Rally Signup/Registration - Friday, March 6 through Sunday, March 8, 2025

Please read this entire form
Sign up to attend this Youth Rally at the Camp Creek Church of Christ, Atlanta, GA. Cost is $50.00 per person. Youth and chaperones MUST ALL REGISTER HERE!
If costs are a challenge, contact David Bishop directly to discuss. For Grades 5-12. Youth in Grade 4 and under must have a parent attend.
Please complete a separate registration form for each participant.
Parent/Guardian Name *

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

Area CodePhone Number
Youth Participant First/Last Name*

First NameLast Name
Youth Participant Age*
Youth Participant Grade Level*
Youth T-Shirt size (Ex: Youth Medium, Adult Large)*
Will you be attending with your child?

YesNo
Do you already receive the YIA eNewsletter?

YesNo
Would like to be added to the Youth in Action email/text blast list?*

YesNoNot Applicable
Registration Payment
To make your registration payment(s), click or tap the Submit Form and Pay Registration button below. You will be directed to the payment portal. Enter the $50.00 payment under 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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Tri-Area Youth Rally Signup/Registration - Friday, March 6 through Sunday, March 8, 2025