FAITH BEYOND THE PEWS

Youth Convention | June 28 - July 5, 2026

332 PINE FLAT RD DEER LODGE TN 37726

PERSONAL INFORMATION

First name

Last name

Birthday

Month

Day

Year

This event is for 12 years or older.

Address

Phone

Add country area code (example +1)

EMERGENCY CONTACT

Parent, guardian, etc.

Name

Phone

Add country area code (example +1)

City, State

MEDICAL HISTORY

List any medications you take

List any allergies (including food allergies)

Physical difficulties that we should be aware of

PARTICIPANT’S AGREEMENT

Please read the Conduct Guidelines before signing below.

I agree to respect those in responsibility, to do my part in fulfilling the purpose of this convention, and to abide by the Conduct Guidelines at all times. I understand that should I fail to do so, I will be sent home at my expense and will forfeit all registration fees.

Full name

Date signed/submitted

Month

Day

Year

By checking this box you agree to electronic signature

PLEASE WRITE A SHORT DESCRIPTION OF WHY YOU WOULD LIKE TO ATTEND THIS CONVENTION.

FINANCIAL INFORMATION

Cost, including lodging, activities, and food for the youth convention program, is USD $320/person. Cost inluding tent site, activities, and food for the youth convention program, is USD $220/person (Tent not included). You may include payment in full with this form or pay the remainder upon arrival at the youth convention. (Check the box that applies)

Pricing

Entire time $320/person (meals, lodging and activities included)

Entire Time $220/person (Meals, Tent Pitching location, Activities)

Thu-Sun $150

Fri- Sun $85

Sibling discount available. Please call for more information.

2 siblings: $600 ($300 for each)

3 siblings: $825 ($275 for each)

((209) 273-6844 | (540) 520-2069 | (978) 873-2838 | (352) 226-9264

Select Payment Options (Cash or Check on Arrival)

Cash

Check

PARENT’S AUTHORIZATION

If you are under the age of 18, a parent must sign. If 18 or older, please sign yourself.

Parent's Signature

By checking this box you agree to electronic signature

Date signed/submitted

Month

Day

Year