MFM Youth Ministry (USA) Mega Region 1

Youth and Young Adults

Personal Information

First Name * Please enter your first name.

Last Name * Please enter your last name.

Email Address * Please enter a valid email.

Phone Number * Please enter a valid 10-digit phone number.

Demographics & Details

Gender *

Male Female

Please select your gender.

Grade *

Please select your grade.

T-Shirt Size *

XS S M L XL XXL

Please select a T-shirt size.

State *

Please select your state.

Branch Information

Youth Coordinator in your branch? *

Yes No

Please select an option.

Branch Pastor *

Please select your Branch Pastor.

Activities

Outdoor sports

Select all you would like to participate in (optional).

Basketball Soccer Other sports

Waivers & Consent

Please download, complete and submit the Retreat Release Waiver forms to your youth leader before the retreat
📄 Download Retreat Release Waiver forms (Google Drive)

I have completed the Retreat Release Waiver forms *

Yes No

Please complete the Retreat Release Waiver forms and select Yes to continue.

Payment

⚠️ Please complete all required fields and confirmations before continuing.

💳

Registration Fee: $200.00

Pay $200.00 with Zelle, or $204.47 with PayPal or a card
The additional $4.47 for PayPal and card payments helps cover transaction processing costs. Choose your payment option after saving your details.

Your information is securely stored

✅

Thank you for registering

Please choose a payment option to complete your registration.

Please submit your completed waiver forms to your youth leader. We look forward to welcoming you!