Event Registration

Register for your event by filling out the information below:

Choose your event!

Yth - Fusion Retreat May 26-28, 2017 Cost $155

MK - Connection Camp @ Sivells June 19-23, 2017

Attendee Name

Age

2016-2017 Grade

Student Cell Number

Parent contact info:

Parent Name

Parent Cell Number

What is the best way to reach you?

Call

Text

Attendee T-Shirt Size (Adult Sizes)

Small

Medium

Large

X-Large

XXL

3XL

Payment Info

Take the deposit out of my Youth Account

Take the full amount out of my Youth Account

Pay Online within 24 hours (Click GIVE on our app or text "westmain" to 77977 to pay )

Anything we need to know?

SUCCESS! Thanks for registering for this event. Please feel free to contact us if you have any questions or concerns. If you are paying for this event online, please copy and paste the following address into your web browser. https://pushpay.com/pay/westmainartesia Or simply text the word: westmain to 77977 to start start the payment process.