Hobart YSA Convention Registration Application - Non Fillable Version.

7/29/2019 Hobart YSA Convention Registration Application - Non Fillable Version.

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Hobart YSA Convention7-10 June 2013

Registration Application

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First Name Last Name

Date of Birth Gender

E-mail Phone

Ward Stake

Home State

Emergency

Contact Name

Phone

Medical/

DietaryRequirements

List friends

you wish toshare aroom with

MedicareNumber

AmbulanceCover?

Yes No

Photo

Relation

By filling in and submitting this form, you agree to live by church standards as outlined in the"For The Strength of Youth" booklet while at convention.

You should be able to complete this form on your computer using Adobe Reader or anothe

PDF reader. Once completed please save and email it to [email protected]

Once we receive your registration application we will seek your Bishop's approval. A

Payment Details Form will then be emailed to you confirming the total amount payable andask for your payment details (credit/debit card).

Once your payment has been processed we will send you a final confirmation email along

with other important information. If you have not heard from us or have any questions youcan email us at [email protected] 

PLEASE NOTE THAT YOU WILL NOT BE REGISTERED UNTIL WE HAVE RECEIVEDYOUR PAYMENT IN FULL