Youth 2003 Registration Form
(Please print, complete, and mail this form with your registration fee. Make checks payable to Youth 2003. Mail payments to Youth 2003, General Board of Discipleship, PO Box 340003, Nashville, TN 37203)
Are you at least 21 years of age or older?
_____ Yes _____ No
Primary Group Leader Name
_____ Staff Youth Leader _____ Lay Youth Leader
_____ Other
Name of Church
Address
City/State/Zip
E-Mail
Day Phone (with area code)
Other Phone (with area code)
Fax (with area code)
District
Conference
Number of youth who will attend with my group: ________________
Number of adults who will attend with my group: ________________
Total spaces reserved:________________
Payment enclosed: $ ________________
Please make all checks payable to Youth2003.
Mail confirmation materials to (if different from above):
Name
Street or P.O. Box
City/State/Zip
We plan to travel to Knoxville by:
_____ Flying to Knoxville Airport
_____ Flying to Nashville Airport
_____ Bus (How many?) ________
_____ Van (How many?) ________
_____ Car (How many?) _________
_____ Undecided
Have you visited www.youth2003.org? ________
Registration Questions?
Call UT Conferences,
conferences
Program Questions?
Contact Lori Whitehurst
, ext. 7176
Or e-mail us at
youth2003
Youth 2003 Registration Page | Youth 2003 Home
© 2002 General Board of Discipleship.
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