Please enable JavaScript in your browser to complete this form.Registration Type: *YIA & YIL (K-12):Young Adult (ages 18-35):Participant Name (YIA & YIL): *FirstLastParticipant Parent Name (YIA & YIL): *FirstLastParticipant Name (Young Adult): *FirstLastGender: *MaleFemaleDate of Birth: *Cell: *Email: *Address: *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayout1Church Name: *Church Location: *Layout2Pastors Name: *District: *Diocesan: *YIA & YIL Participation Fee: $3.00 per category *Knowledge BowlSpelling BeeTake The MicCreative WritingTalent ShowcaseYoung Adult Participation Fee: $10 per category *Bible BowlTotal (PLEASE VERIFY YOUR TOTAL AMOUNT) *$ 0.00Captcha * = EmailSubmit
