13th ANNUAL Spring Conference
Spring Conference - May 20-22, 2017
English Congregation Gr. 9 & Up - Registration Form

Name *
Name
Gender *
Mobile Phone *
Mobile Phone
Home Phone
Home Phone
Address
Address
Christian
By signing your name below, you certify that this information is complete and correct.
Date
Date
Media consent
I give permission to Logos Baptist Church (York Region), thereafter LBC(YR), or anyone authorized by LBC(YR) to take photographs of me by use of a camera, video or other film equipment. I give consent to the use of my name, photographs, voice, statements, image, and likeness (The Materials) for the purposes of promotion, publicity, programming and communications purposes, in any media, in perpetuity, without compensation or notice.
I release LBC (YR) staff and volunteers from any liability or claims that relate in any way to the use of the Materials in the manner described above.
By typing your name below, you have given consent.
Date
Date
Note
1) Administration fee is neither transferable nor refundable.
2) Parents / Guardian information and consent are required for applicant under 18 years old.
3) Room Allocation (Each unit has 2 rooms and a common area)
a. Children Gr. 8 and under will stay with their parents in the same unit.
b. Couples will share a room unless specifically requested otherwise.
c. Single will share a unit with another single (Same gender). Maximum 4 people in a unit.
*room preferences for non-family singles are for reference only; final room arrangements will be decided by conference coordinators.
PLEASE SELECT ONE OF THE FOLLOWING OPTIONS:
Only gr. 9 to gr. 12 parent/guardian please complete the following:
Mobile
Mobile
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