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Individual Registration

Please enter information in the form below to register for Junior Youth Conference.


Please enter information in the form below to register for Junior Youth Conference.

Group leader information will be recorded at the bottom of this form. If your group leader is attending the Conference, please register them below with the other participants in your group.


Participant Information



Participant Contact Information


Emergency Contact Information



Group Leader Information

Payment Information

$
Offline (Mail-In) Payment
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