New Youth Weekend Registration
July 30- Aug 1st, 2021

Friday:Youth Building worship & snacks
Saturday:Carowinds Amusement Park
Sunday: Slip N' Slide at Anne & Andy Knox's House
(Complete Schedule to follow registration)

How much:
$50(Full Weekend)
$25 (If not going to Carowinds)

Don't let money be an issue, we have you covered! Let us know if you need help paying for the weekend!
Participant's Name *
first and last name of student or chaperone registering to go
What grade will participant be in as of August 2021? (adult chaperones choose adult chaperone option) *
Phone Number (Student/Chaperone) *
Parent's Phone Number: (Chaperone's Put NA) *
Parent Email (Chaperone's Put Your Email Address) *
Any food allergies or dietary needs *
Please list any medical conditions we need to be aware of: *
How do you want to pay? *
Any questions or concerns
Contact Jackson:

(706) 831-7287
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