Mars Hill Acts 17 - Youth Registration
EVENT DATE & TIME: Sept 7, 2019, 5-9pm.
EVENT LOCATION: King George Church of God, 8095 Kings Hwy, King George, VA

*Register at least 2 days prior. Otherwise registration forms will be available at the event.
*Come early at 4:30 for sign-in. The program starts promptly at 5pm.

Event Page:
Youth Presentation Sign-ups:
Adult Volunteer Sign-ups:
Email address *
Is this your first time to register for a Mars Hill event? *
First Name *
Last Name *
Gender *
Age *
Birth Date
Phone *
Your Town/City *
Your State *
Name of Your Church *
Name of Your Church Youth Leader *
Emergency Contact Name (a parent or legal guardian) *
Emergency Contact Phone *
Dietary Restrictions: (Event includes dinner! We'll try to accommodate you if you register a week in advance. But if you have strict needs, then please bring your own dinner.) *
Medical Conditions that may impact your participation (Event includes concert haze, strobe lights, live concert volume, and group activities.) *
How did you hear about Mars Hill? (check all that apply) *
If you were invited, who invited you? (They may be eligible for a prize, so please provide their first and last name.)
Comments or Recommendations (We love your feedback to help us improve!)
You acknowledge and agree to the following: Mars Hill Acts 17 events are for youth ages 12-19. Events include concert haze, strobe lights, live concert volume, and food/drink that may impact some with medical conditions or allergies, and you agree to limit your participation if any of these may impact you. For the safety and enjoyment of all, you agree to be respectful, follow directions, and seek an adult with a Mars Hill badge if any issue occurs. This registration may be used in case of emergency, follow-up contact, and as consent to use public event photos in promotional materials. *
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