FYLACon 26 Registration

Ticket Information:

** ALL tickets are non refundable and non transferable after August 13th. ** $50 / Main Leader (Youth or Children) $25 / All Additional Attendees Ticket includes: Admission to event, food, lodging if needed (Lake Wimauma Campground) Meals Provided: Friday Night - Dinner & Snack | Saturday - Breakfast & Lunch. **REGISTRATION DEADLINE IS August 13th**
Name

First NameLast Name
Gender:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Main Leader Email
example@example.com
Are you the main Youth Pastor or Children's Pastor?
Are you a credentialed minister with the Church of God, or in the process of becoming credentialed?
What level of credentials do you currently hold?
If main Youth or Children's Pastor, please submit a photo of yourself for voting purposes.
Church Name (If you don't see your church name, check under the city where it's located)
What is your position at your church?
Total number of attendees with your group
Please list the name/gender of everyone attending with your group.
Do you need lodging?

Main Children's or Youth Leader

$50.00 Quantity

Additional Attendee

$25.00 Quantity

Enter coupon

Total

Ticket Information: