Group InformationChurch Group NameContact First Name *Contact Last Name *Street Address *City *State/Province *ZIP / Postal Code *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweContact Person's Phone Number *Church Phone (if different)Email Address *Who is bringing your group? *I am bringing my group.The person bringing my group is different from the contact above.I'm not sure at this moment.First NameLast NameChaperone Phone *Chaperone Email *Conference RegistrationEstimated Total Number of Participants *Your estimate must include at least one adult.Week Choice #1 *Week 1Week 2Week 3Week 4Week 5Week 6Week Choice #2 *Week 1Week 2Week 3Week 4Week 5Week 6Week Choice #3 *Week 1Week 2Week 3Week 4Week 5Week 6Housing OptionsHousing Choice *We would like to stay in Montreat Conference Center housing.We would like to stay in Montreat College housing.We are arranging our own housing.MCC Choice #1 *Assembly InnGlen RockWinsboroughMCC Choice #2 *Assembly InnGlen RockWinsboroughMCC Choice #3 *Assembly InnGlen RockWinsboroughCollege Choice #1 *AndersonMcGregorHowertonCollege Choice #2 *AndersonMcGregorHowertonCollege Choice #3 *AndersonMcGregorHowertonApproximate Number of Rooms *If you do not know an estimate of the numbers of rooms you will need, please explain in this submission box.SummaryDeposit Due$Estimated Total Conference ChargesTotal includes your deposit fee.AgreementI have read the entire “2022 Youth Conference Pre-Registration Form.” I understand the registration procedure. I also understand that cancellations must be requested in writing 60 days prior to my conference in order to receive a refund less the non-refundable per-person deposit. No refunds after the 60-day deadline. I agree to pay the remainder of our total conference charges by April 1, 2022. I also understand that we will pay (or be billed) separately for our housing and meals.Agreement *I agree.Typed Signature *Submit Pre-registrationPlease do not fill in this field.