AWAKEN Youth Conference Registration June 19, 2021 Grades 7-12 Cost: $10 Registration Type*GroupIndividual Individual RegistrationStudent's Name First Last Student's Email Grade (Fall 2021)*Select Grade6789101112SponsorGender*Select GenderFemaleMaleParent's Name First Last Parent's Email Individual Group Leader InformationGroup Leader Name* First Last Group Leader Email* Group Leader Phone*Church InformationChurch NameChurch City/StateAttendee InformationEnter the number of attendees for each categoryStudents (Girls)Students (Guys)Adult Sponsors Payment InformationAWAKEN Registrations Price: $10.00 Promo Code Total $0.00 Payment Options*Pay Now with Credit CardPay LaterCredit Card Card Details Cardholder Name