2027 ELCA National Youth Gathering

First Name of Youth Participant

Last Name of Youth Participant

Email of Parent

This address will receive a confirmation email

Phone of Parent

Address

T-Shirt Size (Adult Sizes)

Small Medium Large XL XXL 3XL 4XL

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Mobile Phone

Please comment below if a parent or loved one connected to the participant would be interested in serving as an adult leader for this trip.

Payment for Trip

A $100 deposit is required to register. This can come from your YFM Account. The deposit does go toward the total cost of the trip.

Trip Payments
25% Fully Paid by January 31
50% Fully Paid by March 15
75% Fully Paid by May 15
100% Fully Paid by June 15

Scholarships are available; see Suzie for details.

Fundraising Opportunities are available.
- Wreath Sales (October/November)
- Pie Auction (Sunday, November 22)
- Meatball Dinner & Silent Auction (Sunday, February 28)

Trip Payments are non-refundable.

I have read the terms regarding payment, and agree to the terms.

Yes

PAYMENT

Registration requires a $100 deposit. Participants will not be considered registered until deposits are received. You CAN use YFM Funds if you have them; select "Use YFM Account Funds" for payment.

$100 Deposit

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2027 ELCA National Youth Gathering

Description

Please Fix the Following