Youth Weekend Xtravaganza Registration
* First Name
* Last Name
* Email
Group Registration
- If you are not registering a group, please skip this section and proceed to the "Registration Information."
Group Registration?
Select one
Yes
No
Congregation
Minister
Contact Person
Contact Person Phone Number
Contact Person Email Address
Registration Information
- Please choose your desired registration tier. You must fill out the below section for each person who will be participating in the Youth Xtravaganza.
Parent Name
Parent Phone Number
Parent Email
* Church/Organization
* Choice of Registration
Tier 1 - Tier 1 Includes: All onsite activities, meals, workshops, T-Shirt & Giveaways. ($20.00)
Tier 2 - Includes Tier 1 & dinner & snack voucher and an all-you-can-drink bottle w/your own Six Flags Pass. ($45.00)
Tier 3 - Includes Tier 1 & Six Flags Admission, dinner & snack voucher, an all-you-can-drink bottle & parking. ($80.00)
Registration (without T-Shirt) ($10.00)
T-Shirt Only (YXS - Adult XL) ($12.00)
T-Shirt Only (2X & Up) ($15.00)
Name of Participant
T-Shirt Size
YXS
YS
YM
YL
S
M
L
XL
2X
3X
4X
5X
Class Topic (Grade 5-11 please select 2)
N/A
PreK - 4th Kid's Clubhouse
Grade 5-11 Only - Overcoming Insecurities (Psalm 56:3-40)
Grade 5-11 Only - Created with Intention (Psalm 139:13-16)
Grade 5-11 Only - Identity in Christ (Galatians 2:20)
Grade 5-11 Only - The Power of His Name (Exodus 34:6-7)
Grade 12th - College Only
Parent/Counselor: Counselor's Workshop
* Bible Bowl
Select one
Yes
No
* Student Grade/Adult Status
Select one
Parent
PreK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College
Youth Worker
Volunteer
* Recite Books of Bible?
Select one
Not Participating
Old Testament
New Testament
Both
* Six Flags?
Select one
Yes
No
Add Another Person
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