Youth Awakening Registration Form

Youth Awakening

Please COPY and PRINT the form below. Fill in the appropriate information and return the form to the address below. Please complete the information at the end of this form and click submit. This will help us stay in touch with updated info pertaining to Youth Awakening.

Event Cost: $40 (If staying in a host home. Low cost hotel accommodations are also available) $20  deposit due by December 30, 2014. Balance must be postmarked by January 5, 2015 to avoid $10 per participant late fee.

Includes heavy snacks on Friday night, three meals on Saturday, breakfast and lunch on Sunday, and event t-shirt

Please make checks payable to New Life Community Church and return your registration form and check to:

Attention: Karen Brady, NLCC, 415 Mica Road, Ridgeway, VA 24148


Please print, fill out and return this form by 1/5/15. Payments must be postmarked by 1/5/15 to avoid an extra $10 late registration fee.



I am attending as :

___ adult chaperone

Please limit adult chaperones to one (1) adult per six (6) youth.

$15 per additional adult chaperone to cover the cost of meals and snacks

___ youth $40

 includes T-shirt an all meals/snacks

Please select T- Shirt size: (circle one)

S    M    L    XL    2XL    3XL

While supplies last, adults may purchase a shirt for $10 at the event.

Please choose 4 sessions that you wish to attend. Rank them from most (1) to least (4) wanted. A description of each session is listed below.

_____1. Freedom in the Kingdom- discover the freedom we have in Christ.

_____2. Fortress- discover why Christ and His gospel will always be the one true fortress to put your hope in.

_____3. Storming the Castle- Living as an overcomer in this world.

_____4. Are you Royal?- Do you ever wonder where you fit in at church? Explore your spiriutal gifts and how to use them in God's kingdom.

_____5. Enduring the Dungeons- Everyone has "dungeon" times. When you feel tortured and beat down by this world, discover what the Bible says about suffering and persectuion and how to endure.

_____6. Mirror, Mirror on the Wall- Learn how to see yourself through God's eyes. Envision true beauty as the Bible defines it.








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