MACUCC Youth@Synod Registration 2017

Youth@Synod cost is $945 per person including registration fee, travel costs, hotel, meals, etc., however the MA Conference will susidize the travel and some meal costs totaling $220 per person, reducing the out of pocket cost to $725 per person. Participants must submit a non-refundable deposit of $150 by credit card to reserve a spot. No registration is complete without the $150 payment.  The MACUCC is registering you on your behalf on the Youth@Synod website and will not do so unless you have paid your $150 registration fee.  Final payment will be due May 1.  

If you cannot pay by credit card, please contact Cindy Bolton at 508-875-5233 ext. 237 before completing this registration form.

Space is limited to 18 participants which includes a minimum of 3 adult chaperones/leaders.

*First Name
*Last Name
*Address 1
*City
*Zip
*Email
*Church Name

Please choose your church from the dropdown list.

*Designation

Please check one response.

Adult leader
Youth
*Cell Phone # (Adult or youth attending Synod)
*Gender?
Female
Male

The next nine questions pertain to the youth registrations.  Please answer them all.

Everyone is required to answer questions #5, #6 and #7.  You will get an error message if required questions are not completed.

#1. Grade in school as of January 2017
#2. Date of Birth (mm/dd/yyyy)
#3. Parent/Guardian name
#4. Parent/guardian email
*#5. Emergency contact name
*#6. Relationship to registrant
*#7. Emergency contact phone#
#8. Are you interested in being part of the Massed Choir and are you 16 years of age?
Yes
No
No answer
#9. Are you interested in taking a leadership role (reader) in worship?
Yes
No
No answer
*Dietary Restrictions
no special diet
wheat/gluten free
vegan
no red meat
no pork
allergy to seafood
allergy to peanuts
lactose intolerant
*T Shirt size
small
medium
large
xtra large
2XL
3XL
*Youth@Synod Mass Delegation Total Costs ($725)

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

There are only 14 available
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