YAYA Convention Palm Springs Registration

$10.00 Early Bird Special Deadline: June 14th or $20.00 Regular Fee.

Church Name: *

City & State *

Youth Pastor's Name: *

Phone *

Contact Information

Name *

Email Address *

Phone *

Address

City

State

Zip

Gender *

Male

Female

ADDITIONAL INFORMATION:I understand that any misrepresentation of facts in this registration form may result in the refusal of registration and participation in this Shield of Faith Fellowship of Churches International event. A non-refundable Registration Fee accompanies this form.

$10.00 Early Bird Special Deadline: June 14th or $20.00 Regular Fee.

Click the Link Below to Pay On: Givelify.com

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