2019 Youth Conference Youth VERY LATE Registration
Youth Conference Dates: June 27th - 29th, 2019
Location: Furman University

Late Registration Notice: Registration closed in May, but we would love to have you attend. To be added to the wait list, please complete this registration form. Housing is currently full, so we will contact you to confirm your registration and participation.

If you have any questions contact us at admin@furman19yc.com

Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant Email Address *
Your answer
Date of birth *
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Age (at time of conference) *
Your answer
Gender *
T-shirt size *
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Emergency Contact (parent or guardian) *
Your answer
Emergency Contact Email *
Your answer
Emergency Contact Phone Number *
Your answer
Stake *
Ward *
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