PGUMC YOUTH Online Trip Registration
Registration for Youth Works Mission Trip to Nashville, TN June 10-15th. For ALL youth 6-12th grade. Friends Invited! Cost per student is $280 w/ a $50 deposit needed week after registration.

Youth's Name *

Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Youth Cell Phone # *

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Youth School *

Parent's Phone # *

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Parent's Email Address *

Youth's TSHIRT Size *

Please send me updates on UMYF Events

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I understand that if my youth backs out I will be responsible for amount of trip.

Additional Questions

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