2017 Young Adult Conference

1. You must supply a valid e-mail address in order to receive information about National Young Adult Conference.

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Name:

 

 

   

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The Church of the Brethren respects and protects your privacy. Choose e-mail updates at www.brethren.org/signup


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Question - Required - Phone Type



 

Address

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*10.
Question - Required - Birth date




  If requesting a scholarship, church code is required.
  Don't know your church code? Go to Find-a-Church and search for your congregation. Remember to click on your congregation's name in order to find the church code. Then copy and paste it into the box below.
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Question - Required - Are you requesting a scholarship?


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Question - Not Required - Are you currently serving in Brethren Volunteer Service?


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Question - Not Required - Is this your first denominational young adult event?


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Question - Required - For housing purposes




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(Maximum response 255 chars, approx. 5 rows of text)

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Question - Not Required - Do you have a gift for music, art, drama, etc that you would be willing to share at YAC?


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(Maximum response 255 chars, approx. 5 rows of text)

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Question - Not Required - Would you be interested in helping to lead worship?


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Question - Not Required - Would you be interested in helping to lead a small group?


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(Maximum response 255 chars, approx. 5 rows of text)

 

YAC Privacy Policy and Photo Release

By registering for Young Adult Conference, you voluntarily submit personally identifiable information. We will use this information to communicate with you about YAC and to facilitate your participation at the conference. This information will never be publicly posted or sold. However, we may share the following information with other Church of the Brethren programs and colleges in which we think you might be interested: name, contact information, date of birth, gender, and home congregation.

You may be pictured and identified by name, hometown, and/or congregation in YAC and Church of the Brethren related publications.

If you would not like this information to be shared with such programs, please write or e-mail the YAC Office at cobyouth@brethren.org.

NOTE: $75 deposit, non-refundable, is due within two weeks of registering.

 
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