2020 Great Plains Annual Conference Session for Youth Equalization Members

The 2020 Great Plains Annual Conference plenary sessions and worship services will be May 25 - 30 at the Stormont Vail Events Center (1 Expocentre Drive) in Topeka, Kansas. This form is ONLY for those who were selected to represent their districts as youth equalization delegates.

Registration and deposit is due by midnight on April 16. Delegates will have the opportunity to submit a voucher for deposit and mileage reimbursement after attending annual conference in its entirety. In addition to this online registration form, please sign and submit the Medical Record & Liability Release form. The Medical Records & Liability Release Form 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.

Youth information
*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
Youth's cell phone number (if you have one)
*Gender
Male
Female
*Enter the grade level you are completing at the end of the 2019-2020 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.

Guardian information
*Full name
*Phone
*Email
Church and district
*Name of Local Church
*City and State of Local Church
*District

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

*Have you been in contact with your District Office?
Yes
No
Payment
Registration, lodging and meal deposit ($75)

Payment by credit card - Upon submitting this form you will have the option to pay by credit card through PayPal. You do not need a PayPal account to pay by credit card. Click the green "pay now" button on the next screen.

Payment by check - It is important that you include your youth's name on the check so we know who the payment is for. Checks should be made out to the Great Plains Conference and mailed to:

Youth Annual Conference

1207 SW Executive Drive

Topeka, KS  66615

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