Youth Weekend Xtravaganza Registration
* First Name
* Last Name
* Email
* Group Registration?
Select one
Yes
No
* Congregation
* Minister
* Contact Person
* Contact Person Phone Number
* Contact Person Email Address
* Parent Name (For Individual Registration Only)
* Parent Phone Number
* Parent Email (For Individual Registration Only)
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.
* Choice of Registration
Select one
Tier 1 - Tier 1 Includes: All onsite activities, meals, workshops, T-Shirt & Giveaways. ($15.00)
Tier 2 - Includes Tier 1 & dinner & snack voucher and an all-you-can-drink bottle w/your own Six Flags Pass. ($37.00)
Tier 3 - Includes Tier 1 & Six Flags Admission, dinner & snack voucher, an all-you-can-drink bottle & parking. ($70.00)
* Name of Participant
* T-Shirt Size
Select one
YXS
YS
YM
YL
AS
AM
AL
AXL
2X
3X
4X
5X
* Class Topic (Grade 5-11 please select 2)
PreK - 4th Grade: Jesus Loves The Little Children
Grade 5-11 Only - God’s Playbook - The Beatitudes
Grade 5-11 Only - Don’t Worry, Be Happy!
Grade 5-11 Only - Temptation Island
Grade 5-11 Only - Forgiving What You Can’t Forget
Grade 5-11 Only - Man in the Mirror
Grade 5-11 Only - Boundaries From God are Good
Grade 12th - College Only: It's All About HIM!
Counselor's Session: It’s All About HIM!
* Bible Bowl
Select one
Yes
No
* Student Grade/Adult Status
Select one
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
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