Young Adult United 2019 Registration
YOUNG ADULT UNITED is a network of local churches seeking to minister and mobilize young adults by the gospel to further advance God’s Kingdom in the greater Philadelphia area and beyond. We are convinced that young adults are an integral part of evangelism and witness in the city’s schools, marketplace, stores in the renewing of God’s Kingdom.

WHEN: April 26-27, 2019
Friday starting at 7:00pm to Saturday 9:30am - 9:30pm

Courtyard Marriott of Collegeville
600 Campus Dr, Collegeville, PA 19426

Early Registration (By Sunday March 31): $40 Event Only / $50 with Hotel
Late Registration (After Sunday March 31): $55 Event Only / $65 with Hotel


Name *
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Gender *
Age *
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Phone # *
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Email *
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Church you attend *
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Birthday *
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Any known allergies, medications, etc? *
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Health Insurance Company
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Health Insurance Policy Number
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Which days will you attend the retreat? *
Method of Payment *
LIABILITY RELEASE FORM I, being 18 years of age or older, do for myself do hereby release, forever discharge and agree to hold harmless Young Adult United Conference, and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damages and expenses, of any nature whatsoever which may be incurred by the undersigned that occur while said is participating in the above described trip or activity. Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. Further, authorization and permission is given to said trip and travel organizers to furnish and hereby release liability of transportation, food and lodging for this participant. The undersigned further hereby agrees to hold harmless and indemnify said organization(s), its directors, employees and agents, for any liability sustained by said travel organizers as the result,of negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.If any/ Further, should it become necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I (we) hereby assume all transportation costs. By checking the box below, I am in Agreement to Liability and statement of faith * I am in agreement with the liability release form I am not in agreement with the liability release form
Agreement to Liability & Agreement to pay: By typing in your name below, you are in agreement with the liability release form and liable to pay unless notified prior due to extraordinary circumstances. Hotels will not accommodate last minute cancellations with conferences. *
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