Senior Youth Gathering 2023

Date: November 17-19, 2023
Topic: Ready, Set, Go
Theme Verse: Matt 28:19-20a
Location: Holiday Inn West Des Moines - Airport / Conference Center

*Leaders, please note: You must have collected all leader and youth information before filling out this form. (ie. Name, Allergies, T-Shirt Size, Medications, etc.) Please also be prepared to assign rooms for your group's attendees.

Question Title

* 1. Primary Adult Leader Contact Information

Name

T-Shirt Size

Allergies

Personal Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Primary Leader Gender

Female

Male

Question Title

* 3. Congregation Information

Congregation Name

City

Address

Address 2

City/Town

State/Province

ZIP/Postal Code