D.V.8 Youth Conference Registration Form Dare to be DIFFERENT

1. D.V.8 Youth Conference Registration Form Dare to be DIFFERENT Fill out this form to begin the registration process. Make sure you fill in all the blanks. First Name: ___________________________ Last Name: __________________________ Birth date: ____________________________ Male____ Female____ Home Address: ______________________________________________________________ City:_________________________________ State:__________ Zip:__________________ Phone Number:______________________________________________________________ Email Address:_______________________________________________________________ Home Church:_______________________________________________________________ Youth Pastor:________________________________________________________________ Senior Pastor:_______________________________________________________________ Information: Tickets $10.00 Cash, Check, or Money Order. Checks Payable to Trista Carr Ministries Doors Open 6:15PM on Friday and 9:00AM on Saturday. Don’t be late because you will miss the free giveaways. Once payment is received, you will receive a wrist band. You MUST wear the wrist band the entire weekend in order to get into the conference each day. .