Uth 4 Mission 2019

Enter Contact information for Adult Leader
*Address
*City
*State
*Zip Code
*Phone
Enter the name of the Adult Leader
First Name
Last Name
Email
Name of Youth Participant (or adult if not registering youth)
*First Name *Last Name
*What type of registrant are you?

Select from the list below

Youth Female ($220)
Youth Male ($220)
Commuter Rate ($120)
Adult Female
Adult Male
*Identify your Church

Select your church from the drop down list below. A selection is required.

*Identify your District

Select your district from the drop down list below. A selection is required.

*What is your Work Preference?

A selection is required.

Build-Up (physically repairing/building/cleaning local area of community)
Reach-Out -space is limited- (run a vacation bible school for children in local community)
No Preference - wherever most needed
*What is your Age?
A response is required. Adults please select "Adult."
*What Grade have you just completed? (2018-2019 School Year)

A response is required. Adults please select "N/A."

*What is your T-Shirt Size?
Please select one of the following choices. A selection is required.
*Do you have any food allergies or other medical conditions that we need to be aware of?

An answer for this question is required.  If this does not apply to you, enter "none"

Roommate request
*WPAUMC Refund and Cancellation Policy
Click Here to view the Refund and Cancellation Policy.
Yes, I have AGREE with the WPAUMC Refund and Cancellations Policy

Every participant must fill out both:

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