Youth Weekend Xtravaganza Registration
PLEASE NOTE:
Registration will increase after May 5th
* 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
Parent Name
Parent Phone Number
Parent Email
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. ($20.00)
Tier 2 - Includes Tier 1 & dinner & snack voucher and an all-you-can-drink bottle w/your own Six Flags Pass. ($75.00)
Tier 3 - Includes Tier 1 & Six Flags Admission, dinner & snack voucher, an all-you-can-drink bottle & parking. ($45.00)
Name of Participant
* T-Shirt/Hoodie 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 Kid's Club: "Super Heroes of the Bible"
Grade 5-11 Only - Who Are You?
Grade 5-11 Only - What Are You Consuming?
Grade 5-11 Only - Where Do Your Priorities Lie?
Grade 5-11 Only - Why Are You Here?
Grade 5-11 Only - When Does Your Christian Light Shine?
Grade 5-11 Only - How Your Faith Guides Your Future.
Grade 12th - College Only: Jesus, Walk with Me!
Parent/Counselor: Counselor's Workshop
* 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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