Conference Registration

Thank you for your interest in Teen Revolution! Please fill out this form so that we can know how many are coming. Keep in mind that there is a $100 nonrefundable registration fee for every youth department that registers. This fee will be applied later to your final conference cost.

Registration Info
Name*
FirstLast
Church Name*
Church Address*
Street AddressCityStateZip Code
Phone*
Email*
Attendees
Please let us know your attendees below.
Approximately How Many Are Coming In Your Group?*
Conference Only - Please fill in how many attendees
Lodging - Please fill in how many rooms you need (up to 5 people per room)
Dollywood (Wednesday) -Please fill in how many attendees
Nascar Speedpark (Tue. Wed. or Thu.) - Please fill in how many attendees
Dixie Stampede (Tuesday) - Please fill in how many attendees
# of Teens:
# of Children 3-11:
# of Youth Workers:
# of College and Career Age:
Shirts
Please let us know how many of each you need.
# of small t-shirts needed:
# of medium t-shirts needed:
# of large t-shirts needed:
# of x-large t-shirts needed:
# of xx-large t-shirts needed:
Registration Fee*
Price: $100.00
This will reserve your room, tickets, etc.
*** If you have selected "Lodging" Please make sure you visit the Housing Registration tab to let us know your arrangements after you submit this form.
Email
This field is for validation purposes and should be left unchanged.

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Conference Registration

Registration Info

Attendees

Shirts