UNITED YOUTH CONFERENCE - DNOW

JANUARY 10TH & 11TH, 2023

Opp High School Auditorium

Cost $30 per student.

Name *

Date of Birth *

Age *

Grade *

Address *

Parent/Guardian Name *

Email Address *

Phone Number *

Medical Information. Include all allergies and medication *

Emergency Contact *

You can pay online on Bethany Baptist website - www.bethanyandalusia.com.

Go to Giving and select Youth Event.

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