2018 Identity Youth Registration
Please complete the three sections of the registration and click "Submit" at the end.
We are looking forward to sharing this week with you! Thank you for your registration.
Email address *
Youth's First Name *
Your answer
Youth's Last Name *
Your answer
Name shown on nametag *
Your answer
Phone (best # to reach youth) *
Your answer
Cell Phone (if different from above)
Your answer
May we text you? *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
What is your birthday? *
MM
/
DD
/
YYYY
What School Do You Attend? *
Your answer
What grade will you be entering? *
Your answer
Gender *
Adult T-shirt Size *
Dietary Restrictions (i.e. lactose, gluten, peanut) *
If "yes" what are your needs?
Your answer
What Church do you attend? ("none" if not attending anywhere regularly) *
Your answer
Who is one friend you'd like in your group?
Your answer
How did you discover Identity Youth Week?
Your answer
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