Young Preacher's Institute Application Form

March 4 - 6, 2022

(Children/ Teens 14 years and younger must be accompanied by a parent/ guardian.)
Registration Deadline is February 21, 2022
$120 per person
Payment Options Check, Cash, Credit Card
Make Checks payable to: Northeastern Conference Youth Ministries (Memo - Young Preacher's Institute)
NO ON-SITE REGISTRATION
Location: Camp Victory Lake, 277 Crum Elbow Road, Hyde Park, NY 12538

Name
Church Name
Email
Area
Participant #1 Name
Participant #1 Email
Name
email
Alternate-1. Name (First Last)
Alternate-2. Name (First Last)
Alternate-1. email
Alternate-2. email