MACUCC Youth @ Synod Registration 2019

Thank you for registering for Youth @ Synod.  The total cost is $900 per youth, which includes event registration, housing, meals, and Southwest airfare.

The MA Conference is offering a scholarship of $200 for each teen participant. Please contact Debbie Gline Allen  to request the scholarship of if you have any questions about Youth@Synod.

The youth registration non-refundable deposit of $50 is due no later than February 15, 2019 and the balance is due no later than May 1, 2019. Please contact Cindy Bolton if you want to make partial payments online with a credit card.  (Online payment is available for the deposit or the full balance due.)

Registrant Information
*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Email
*Cell phone
Pronouns

Please indciate which pronouns you prefer. (She,Her, Hers/ He, Him, His/  They, Them, Theirs)

Church

Please select your home church from the MACUCC list.

*Teen or Adult Chaperone
Teen
Adult Chaperone
*Date of Birth (mm/dd/yyyy)
*Age as of June 20, 2019

You must be between the ages of 13 and 18 as of 6/20/2019 to attend as a youth participant at Youth@Synod.

*Parent/Guardian
*Parent/Guardian email
*Are you interested in being part of the General Synod Choir? (Participants must be at least age 16 years or older.)
Yes
No
*Are you interested in taking a leadership role (reader) in worship?
Yes
No
*Relationship to youth participant (parent, lay volunteer, youth leader, etc.)
*Emergency contact name
*Emergency contact's phone
*Dietary Restrictions
wheat/gluten free
vegan
no red meat
no pork
allergy to seafood
allergy to peanuts
lactose intolerant
no special diet
ADA Accommodations

Do you require any special accommodations for accessibility? (Vision, hearing, mobility)? Please describe below.

*T Shirt size
small
medium
large
xtra large
2XL
3XL
*Youth@Synod Registration: Please select the appropriate fees as they apply to your registration.
  • Youth @ Synod cost is $900 per youth, which includes event registration, housing, meals, and Southwest airfare.  There is no charge for adult chaperones.
  • Deposit of $50 due no later than February 15, 2019, is non-refundable and payable online or by check. (Skip the payment screen if you are going to mail a check or if you are an adult chaperone.)
  • Checks are payable to MACUCC and should be mailed to the attention of Cindy Bolton, 1 Badger Road, Framingham, MA  01702
  • Balance due May 1, 2019.
  • The MA Conference is offering a scholarship of $200 for each teen participant.  Please contact Debbie Gline Allen  to request the scholarship. Scholarship amounts will be applied to your payment schedule after approval.
  • Adult chaperone costs listed above will be paid for by the MA Conference UCC.
Youth registration ($900) 5 available
Adult chaperone registration (no charge) 1 available
Youth registration : There are only 5 available
Adult chaperone registration (no charge): There are only 1 available
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