Jesus Today / Justice Today Youth Conference

For Youth & Young Adults Ages 12-25

Date: Saturday, July 25

Time: 9 am - 4:30 pm (check-in begins at 8:15 am)

Location: Calvary Baptist Church

10 Martin Luther King Ave, Morristown, NJ

Cost: FREE for the first 100 to register

Presented by Calvary Baptist Church, Morristown; Fountain Baptist Church, Summit; Mt Zion Baptist Church, Boonton; Mt Zion Baptist Church, Dover; First Park Baptist Church, Plainfield

Questions? Contact Director Sean Lewis at stl5400@gmail.com

Participant Name

First NameLast Name

Participant Age

Participant Email

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Participant Phone

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Participant T-Shirt Size

Parent/Guardian Name

First NameLast Name

Parent Email

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Parent Phone

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Is the Parent/Guardian the preferred Emergency Contact?

Emergency Contact

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Emergency Contact Phone

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Relationship

What church do you currently attend?

If none, type N/A

Attendee will be present for:

How is the attendee arriving?

Is the attendee interested in participating in worship services? If so, please indicate how: (Note: Not all who indicate willingness will be selected for participation in worship)

If the participant has any food or medical allergies, please list them here:

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If the participant has any disabilities and/or medical conditions that may require accommodation, please list them here:

If none, type N/A

Please list any medications that the attendee is currently taking:

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I (the attendee 18+ or the parent/guardian of the attendee 17 or younger) authorize the organizers of this conference to have and use photographs, slides, videos, and comments of the attendee as needed in promotional materials.

I (the attendee 18+ or the parent/guardian of the attendee 17 or younger) hereby waive, release and forever discharge any and all rights and claims any of us may hereafter have against the organizers of this conference for any and all damages, losses, thefts, and injuries that in any way arise out of, or result from my or my child’s participation in the event.

Payment Method

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Justice Today / Jesus Today Youth Conference