CTUCC Youth @ Synod Registration for 2017

Youth @ Synod cost is $945 per person, however the CT Conference will susidize travel and meals, reducing the CTUCC cost to $675 per person.  

Participants must submit a non-refundable deposit of $150 by credit card to reserve a spot.  

Balance of $525 will be due on May 1, 2017. 

In addition, CTUCC Scholarships of up to $200 are available thanks to the "Uncle E" Scholarship fund in memory of Edward Turner.  Youth seeking scholarship support should contact Debby Kirk for an application and submit that by March 15, 2017.  If approved, the scholarship amount will be removed from the balance.  Space is limited to 18 participants.

Youth Contact Information
*First Name
*Last Name
*Address 1
*City
*Zip
*Email
*Youth cell phone
age
Grade in school (as of January 2017)
*Date of Birth (mm/dd/yyyy)
*Parent/Guardian name
*Parent/Guardian email
*Emergency contact name
*Relationship to youth
*Emergency Phone
Home church and town
Are you interested in being part of the Massed Choir and are you 16 years of age?
Yes
No
No answer
Are you interested in taking a leadership role (reader) in worship?
Yes
No
No answer
Dietary Restrictions
wheat/gluten free
vegan
no red meat
no pork
allergy to seafood
allergy to peanuts
lactose intolerant
no special diet
*T Shirt size
small
medium
large
xtra large
2XL
3XL
Registration Deposit paid by credit card ($150)

Your deposit of $150 reserves your space. This is non-refundable.

There are only 10 available
Registration deposit will be paid by check payable to "Missionary Society of CT"

Please write "Youth @ Synod" in the memo and mail your check to Debby Kirk at 125 Sherman Street Hartford, CT  06105.  Your space is reserved once the check is received.

Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.