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Northwest Mennonite Conference

Youth Rally

Select Church

Your church

Church Email

Church Phone

How many leaders are registering?

First Youth Leader:Is this person registering with his or her family?

Yes No

First Name

Last Name

Gender

Male Female

Allergies

Second Youth Leader:Is this person registering with his or her family?

Yes No

First Name

Last Name

Gender

Male Female

Allergies

Third Youth Leader:Is this person registering with his or her family?

Yes No

First Name

Last Name

Gender

Male Female

Allergies

Fourth Youth Leader:Is this person registering with his or her family?

Yes No

First Name

Last Name

Gender

Male Female

Allergies

Number of Youth Registering

First Youth:First Name

Last Name

Gender

Male Female

Allergies

Second Youth:First Name

Last Name

Gender

Male Female

Allergies

Third Youth:First Name

Last Name

Gender

Male Female

Allergies

Fourth Youth:First Name

Last Name

Gender

Male Female

Allergies

Fifth Youth:First Name

Last Name

Gender

Male Female

Allergies

Sixth Youth:First Name

Last Name

Gender

Male Female

Allergies

Seventh Youth:First Name

Last Name

Gender

Male Female

Allergies

Eighth Youth:First Name

Last Name

Gender

Male Female

Allergies

Ninth Youth:First Name

Last Name

Gender

Male Female

Allergies

Tenth Youth:First Name

Last Name

Gender

Male Female

Allergies

Eleventh Youth:First Name

Last Name

Gender

Male Female

Allergies

Twelfth Youth:First Name

Last Name

Gender

Male Female

Allergies

Questions or Comments

The office will send out a billing by email. If you need to cancel or add a person on, please contact the office.

Thank you for your registration. You should receive an email shortly with your registration details.

An error occured.

Your registration details for the Youth Rally

Label: Your Field Value

1-403-337-3283 Email Us 2155 Township Rd 304 #10, Carstairs

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