Central Pennsylvania Youth Convention 2018: Pre-Registration Form
For ages 12-23. Fill out and submit this form to receive a free 2018 Youth Convention shirt. Shirts will be given out at the registration desk when you arrive at Youth Convention 2018.
First Name: *
Your answer
Last Name: *
Your answer
Age: *
Gender: *
Shirt Size: *
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Cell Phone Number:
Your answer
Email Address: *
Your answer
How many years have you attended Youth Convention? *
Home Church: *
Your answer
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