Meltdown 2020 Registration Form
Thank you for registering for Meltdown 2020!  We hope that the weekend will be a transformative and powerful time for you and your students.  This form is to be filled out only by an adult leader of a youth group and not by individual parents or students.  All participants of Meltdown must be registered with a youth group.  Ask your youth pastor/leader/volunteer on how to register with your youth group.  
Youth Workers, please fill out the form below, and if you have any questions, please contact Rev. Stuart Worth at or check out our website at Thank you!

Quick Facts:
January 24th, 25th, and 26th 2020
Boardwalk Beach Resort, Panama City Beach, FL
Speaker:  Josh Griffin
Worship Band:  Bethany Barr Phillips
Illusionist:  Jared Hall
Hip Hop Artist:  Tedashii
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Church Name and City *
Group Leader's Name *
(Who will be at Meltdown)
Group Leader's Cell Phone Number *
Group Leader's Email Address *
Total Number of People Registered *
Total Deposit ($50 Per Person Due Now) *
My deposit check will be sent in the mail and postmarked on this date: *
I understand this is a non-refundable deposit. *
I realize that as the leader of this group I am responsible for all students and adults in my group. *
I will make sure that all adults who come to Meltdown with my group will be background checked before Meltdown weekend. *
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