Congregation *Parent/Guardian Name *Address: *PhoneEmail *Participant Name *Age group (Select One)Ages 3-6Ages 6–8Ages 9–12Ages 13–15Ages 16–18T-Shirt Size (Select One)Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXLEmergency Contact Name: *Emergency Contact Phone:Relationship to Participant: *Media Release Disclaimer *By registering, you acknowledge and consent that photos and videos taken during the Leaders in the Kingdom Youth Conference may be used in future flyers, promotional materials, and marketing media for the event.Submit
