2025 Kids Registration Form

Middle School Girls Convention Registration Form 2025
Child's Name*

First NameLast Name
Please Select Your Home Church*
Child's Date of Birth*

MonthDayYear
Date
Grade Level Completed*

5th6th7th8th
Child's Phone Number (If Applicable)
Please enter a valid phone number.
T-Shirt Size*

Adult XSAdult SAdult MAdult LAdult XLAdult XXLYouth LYouth XL
Does your child have any medication they may need (insulin, EpiPen, inhaler, etc...). Please list below and include any information the servant he/she is assigned to will need to know.*
Does your child have any allergies?*
Parent 1's Name*

First NameLast Name
Parent 1's Phone Number*
Please enter a valid phone number.
Room Type

2 Girls per room ($185)4 Girls per room ($150)
For the best retreat experience, we are implementing a phone-free policy during the convention. Your child will be given a phone break at 10:40 AM and another one at 7:30 PM to communicate with you as needed, and your child's dedicated servant will reach out to you regularly. Otherwise, your child's phone will be turned off and kept safe with the convention servants.*

I agree
Disclaimer ( please sign your name ) *
Please understand this is a conditional registration based on church servant availability, once your church confirms the number of servants available you will be contacted for payment .
Click here to pay
Please upload proof of payment here

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Middle School Girls Convention Registration Form 2025