YOUTH Registration - Regional Youth Assembly (RYA) 2020
February 21-23, 2020
Epworth by the Sea, St. Simons Island, GA
Contact us at yac@gadisciples.org
Email address *
Name of Youth Participant *
Your answer
Gender *
Grade *
Birthday *
MM
/
DD
/
YYYY
Adult T-shirt size *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone number *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone *
Your answer
Name of Church Youth is Representing *
If other, please list church below:
Your answer
Minister's Name *
If other, please list minister below:
Your answer
Youth Minister or Adult Sponsor Responsible for Youth at RYA *
Your answer
What will be your method of payment for the registration fee? *
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