Fields marked with * are Required

REGISTRATION DEADLINES FOR SUMMER MISSION EXPERIENCE:

Conference

Youth I
Youth II
Youth III
Youth IV
Youth V
Youth VI

Conference Dates

June 3-9
June 10-16
July 8-14
July 15-21
July 22-28
July 29-Aug 4

Registration Deadline

April 3
April 10
May 8
May 15
May 22
July 29

 
Once you have completed the following form, we will mail you a confirmation with payment instructions.  Please contact Montreat Central - (800) 572-2257, ext. 335 if you have any questions.
Group Name *
Reservation number on Youth Conference confirmation (six digits)
Group Contact/Leader's Name *
Contact/Leader's Affiliation with Group (i.e. youth minister, church secretary, volunteer, etc.)
Address *
City *
State/Province *
Zip *
Country *
Office Phone
Cell Phone
Other Phone
Email *
Group Leader Attending Montreat SUMMER Mission Experience (if different from above)
Office Phone
Cell Phone
Other Phone
Email

Participant Information

Please note: One adult for every six youth is required. If you have both boys and girls in your group, at least one advisor of each gender is required.
Number of Adult Participants

Number of Youth Participants

Special Physical Needs
Which youth conference are you registered for?
Date(s) Requested (choose one)

Sunday prior to conference ONLY ($23 per person)
Wednesday free afternoon ONLY ($12 per person)
BOTH Sunday and Wednesday ($35 per person)

Housing and Meals Information

If your group is staying in Assembly Inn, Winsborough, or Glen Rock Inn during the Youth Conference, please check all that apply:

We would like to arrive Saturday night for an additional charge of $25 per room (special discounted rate!)

We would like to purchase Sunday breakfast for an additional charge of $7.75 per person

We would like to purchase boxed lunches for Sunday for an additional charge of $9.00 per person

We would like to order boxed lunches for Wednesday at no additional charge

We do not need additional housing or meals

If your group is staying in other housing, please check all that apply:

We would like to purchase boxed lunches for Sunday for an additional charge of $9.00 per person

We would like to purchase boxed lunches for Wednesday for an additional charge of $9.00 per person

We do not need boxed lunches

Payment Information
   I understand I will be receiving a confirmation via U.S. mail and the above amount will be due upon receipt. Registration fees are non-refundable after the 60-day deadline for your conference.

Other Information
Special Requests or Questions:
If you do not receive an online confirmation screen when you hit "Submit", your registration did not go through.  If this happens, please e-mail: webmaster@montreat.org