2019 Great Plains Annual Conference Session for Youth Equalization Members

The 2019 Great Plains Annual Conference plenary sessions and worship services will be May 29 - June 1 at the Kansas Expocentre (1 Expocentre Drive) in Topeka, Kansas. This form is for youth equalization members only (those who were selected by their district council on youth ministries).

Registration is due by midnight on May 1.

In addition to this online registration form, please sign and submit the Medical Record & Liability Release form below:

Forms can be submitted to Donna Ernest at dernest@greatplainsumc.org or mailed to 1207 SW Executive Drive, Topeka, KS  66615.

Four people will share a room with two beds in each bedroom.

Only one person per registration form. Questions with an asterisk (*) are required to be answered in order to submit this registration form.

*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Phone
*Email
Youth's cell phone number (if you have one)
*Registration Deposit ($75)
*District

Select the district of your local church from the list below.

*Name of Local Church
*City and State of Local Church
*Gender
Male
Female
*Enter the grade level you are completing at the end of the 2018-2019 school year
Dietary Concerns

You may select more than one if needed.

Vegetarian
Gluten Free
None
Special Concerns

Please list any special needs you may have. For example, hearing, vision, mobility,etc.

*Have you been in contact with your District Office?
Yes
No
Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.