Youth Congress Registration

Registration*

Church Group Individual

Church Name*

Church Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Church Phone

Pastor*

First Name

Last Name

Youth Director *

First Name

Last Name

Group Leader (if different from above)

First Name

Last Name

Group Leader's Cell Phone

Group Leader Email*

Total # of Girls including Chaperones*

Total # of Boys including Chaperones*

Group Total (Estimate)*

Has your group previously attended Youth Congress?*

Yes No

Is the Pastor or Youth Leader an Alumnus of Crown College?*

Yes No

Select Delegate Packages - Please refer to link on youthcongress.us for a list of area hotels.*

Pre-Congress Package with Lodging $185 per delegate Pre-Congress Package without Lodging $125 per delegate Congress Lodging Package (Weds-Friday) $85 per delegate Congress Sessions only Package $15 per delegate

If you have any questions regarding the packeges please refer back to information provided on home page of YouthCongress.us

Your Name*

First Name

Last Name

Your Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Parent or Legal Guardian*

First Name

Last Name

Contact Number*

Email Address*

Your Date of Birth*

Church Name*

Church Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Church Phone

Pastor*

First Name

Last Name

Have you previously attended Youth Congress?*

Yes No

Select Delegate Package*

Pre-Congress Package with Lodging (Mon-Friday) $185 per delegate Pre-Congress Package without Lodging $125 per delegate Congress only Package with Lodging (Weds-Friday) $85 per delegate Congress Sessions only Package $15 per delegate

If you have any questions regarding the packeges please refer back to information provided on home page of YouthCongress.us

PAYMENT

Checks: Please make all checks payable to: The Crown College of the Bible and mail them to 2307 West Beaver Creek Drive, Powell, TN, 37849, Attention: Youth Congress Office/Jessica Jones.

Payment of balance can be made upon arrival. (cash/credit card/church check)

Please Note...

As the meeting approaches, the Youth Congress office will be in contact with you regarding firm numbers and final cost. If you have any questions, please contact Jessica Jones in the Youth Congress office at 865.938.8186, or email your question to youthcongress@thecrowncollege.edu.