SE2K10 - June 22-25, 2010
Individual Registration


Church/Organization Name:
Pastor/President Name: (example: Pastor John Doe)
Church/Organization Address:          
City:                 State: Zip:
Phone Number: ( ) -
Group Leader: Title:
Group Leader: First Name: Last Name:
Leader E-mail Address:

Please note, only register youth between the ages of 13 - 19. Chaperones do not have to register.

One Chaperone may enter the sanctuary with every 10 teens. All other adults must sit in the overflow.

Absolutely no children under 13 may sit in the sanctuary..

Number in group:

For Individual Registration Register Here
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