AWAKEN Youth Conference Registration

June 24, 2023
Grades 7-12
Cost: $10 (student and sponsors)

Registration Type*

Group

Individual

Student's Name*

First Last

Student's Email*

Grade (Fall 2023)*

Gender*

Parent's Name

First Last

Parent's Email

Hidden

Individual

Group Leader Name*

First Last

Group Leader Email*

Group Leader Phone*

Church Name

Church City/State

Enter the number of attendees for each category

Students (Girls)

Students (Guys)

Adult Sponsors

Will anyone attend the pastor's training portion of the day?*

Yes

Name

First Last

T-shirt Size

Name

First Last

T-shirt Size

AWAKEN Registrations

Price: $10.00

Promo Code

Total

Payment Options*

Pay Now with Credit Card

Pay Later

Credit Card

Card Details

Cardholder Name