2025 Influence Conference Coordinator Form
Parents, please do not fill this form out. You must reach out to your group leader for your group's link.
Leaders, please make sure that all questions are fully filled out. If they are not, it may result in delays in creating your group.
Main Leaders Name
*
First Name
Last Name
Are you the youth/middle school pastor?
*
Yes
No
If you are not the youth/middle school/kids pastor, please type your name below.
Contact Email (this is where you will receive all camp communications)
*
example@example.com
Leaders Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you planning on having your students pay everything online or will your group only be paying the deposit and bringing the amount owed to IC? (We will create a spreadsheet to help you keep track of your total amount owed.)
*
Yes, I plan on having my students pay everything online
No, we are only paying our deposits online and will need Celeste to create a spreadsheet so I can keep track of my totals.
Church Info
Church City & Name (i.e. Houma, Bayou Blue)
*
Name of your group (i.e. Set Apart Student Ministries)
*
What is your groups estimated number attending?
*
What would you like your "join my group" password to be?
*
What would you like your "manage my password" to be?
*
My church mailing address is the same as our physical address.
*
Yes
No
Submit
Should be Empty: