NYSUM 2027 | Net Gen Mission Trip | Registration & Deposit

NYSUM 2027 | Next Gen Mission Trip

Registration & Deposit
March 21–24, 2027 | New York City

Reserve Your Group's Spots
Complete this form and submit the $50.00 per-person deposit to reserve spots for your church. Space is limited to 150 participants and is first come, first served as deposits are received.

DEPOSIT DUE TODAY: $50.00 per person

Total Trip Cost: $270.00 per person
Remaining Balance Due January 15, 2027: $220.00 per person

CLICK HERE FOR MORE INFORMATION

QUESTIONS?

Please contact:

John Chappell (Next Gen Director): jchappell@elimfellowship.org

Courtney (USM Admin): clutz@elimfellowship.org
Leader & Church Information
Leader Name

First NameLast Name
Church Name
Church Position/Role
Examples: Youth Pastor, Lead Pastor, Youth Leader, Associate Pastor
Leader Email Address
example@example.com
Leader Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who Are You Bringing to NYSUM?

Please contact Courtney at clutz@elimfellowship.org with any updates or changes.
In the appropriate box, please...
- List all of your Leaders and Students names, age, gender, & T-Shirt size
  - Free T-Shirt for all who register by Nov. 20, 2026
Youth Pastor/Leader Names (who are attending with the students)
Example: Billy Graham - 23 - Male - L, Corrie ten Boom - 36 - Female - M, etc.
Please List the Names of your Students (who are attending)
Example: Billy Graham - 23 - Male - L, Corrie ten Boom - 36 - Female - M, etc.
Questions? Comments? Concerns? Confusion? Complaints? Celebrations?
Group Registration
How Many Female Leaders? (enter "0" if none)
How Many Male Leaders? (enter "0" if none)
How Many Female Students? (enter "0" if none)
How Many Male Students? (enter "0" if none)
Total Participants
Total Deposit
Deposit Due Today

A $50.00 deposit per participant is required to reserve your group's spots.

Payment Amount

USDDescription

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Need to Pay by check?

Please contact Courtney at (585) 582-2790.

Make Checks Payable to: Elim Fellowship

Memo Line: Next Gen NYSUM 2026

Mail to:

Elim Fellowship

C/O Courtney Lutz

1701 Dalton Rd

Lima, NY 14485
Should be Empty:

NYSUM 2027 | Next Gen Mission Trip

Leader & Church Information

Who Are You Bringing to NYSUM?

Group Registration

Deposit Due Today

Payment Amount*

Payment Amount