Youth Mission u 2019

Contact information above MUST be the PARENT/GUARDIAN Information.

*Contact/Parents Phone number

Enter the phone number for the contact person listed above:

This registration is the Youth grades 6-12 registration form.

If you are registering an adult, you will need to wait until the Adult Mission u registration form is active.   

1.) Youth contact Information

First and Last name are required for all registrants

Who is filling out this form?
First Name
Last Name
Email
Who are the participants?
*First Name *Last Name Address 1 City State Zip Phone Email
2.) Youth General Information
*Age:
*Gender
*Please select your current grade completed
*Church Affiliation

You must select a church from the drop down list below

*T-Shirt Size
Roomate Request (Double Occupancy Only)
3.) Cost of Event

Early Bird rate requires payment in full no later than June 1, 2019.  

Even if you register before June 1 2019, if you are not paid in full by that date, you will be required to pay the Regular Cost of $325 to attend Mission U.

*Register for Youth Mission u ($275)
4.) Cancellation Policy
*Mission U Refund and Cancellation Policy

Registration requires at least a $50 NON-REFUNDABLE deposit upon completion

I understand that my $50 deposit is non-refundable. I also understand that if my registration is not paid in full by June 1, I will be responsible for the Non-early bird rate.

After submitting the form, you will be taken to a summary screen.  From this screen, if you would like to pay the full amount via credit card, click the green Pay Now button.  If you would like to pay the minimum deposit amount or a larger partial payment, enter the amount in the box beside the white "Pay Deposit Only Now" button and click on that button. 

If you would rather pay by check, contact Anais Hussian, Youth Mission u Dean,  at youthmissionu@gmail.com or  215-776-0353.

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