hobart ysa convention registration application - non fillable version
TRANSCRIPT
7/29/2019 Hobart YSA Convention Registration Application - Non Fillable Version.
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Hobart YSA Convention7-10 June 2013
Registration Application
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First Name Last Name
Date of Birth Gender
E-mail Phone
Ward Stake
Home State
Emergency
Contact Name
Phone
Medical/
DietaryRequirements
List friends
you wish toshare aroom with
MedicareNumber
AmbulanceCover?
Yes No
Photo
Relation
By filling in and submitting this form, you agree to live by church standards as outlined in the"For The Strength of Youth" booklet while at convention.
You should be able to complete this form on your computer using Adobe Reader or anothe
PDF reader. Once completed please save and email it to [email protected]
Once we receive your registration application we will seek your Bishop's approval. A
Payment Details Form will then be emailed to you confirming the total amount payable andask for your payment details (credit/debit card).
Once your payment has been processed we will send you a final confirmation email along
with other important information. If you have not heard from us or have any questions youcan email us at [email protected]
PLEASE NOTE THAT YOU WILL NOT BE REGISTERED UNTIL WE HAVE RECEIVEDYOUR PAYMENT IN FULL