MPBC Youth Evangelism Conference

January 13th-14th we are going to Youth Evangelism Conference in Virginia Beach hosted at London Bridge Baptist Church. This conference will be over night and the early bird cost will be $80 per person plus money for 2 meals. If you register after December 15th the cost will go up to $100 plus money for 2 meals. The conference will help students learn to share their faith. It is open to 6th-12th graders. Please register by filling out the form below and making a payment. If you submit a payment digitally please forward the receipt to lyana.smith@mpbclife.com.

REGISTER

2023 Youth Evangelism Conference

2023 Youth Evangelism Conference

Family Information

This will be used to send a copy of this registration form, and other important trip updates
This will be used to send a copy of this registration form, and other important trip updates

Trip Information

Deposit of $50 by December 15 for early bird special. Remainder of cost due before retreat.
If paying by credit card, use your MPBC App or pay on our website (this link will be in your confirmation email). Please forward the payment receipt to lyana.smith@mpbclife.com - this will help us greatly!
If paying by cash/check, put in envelope in Black Box by church office door.
More than one request can be added, but only the first one will be guaranteed
Do you have a 2023 Medical/Travel release on file? *

Medical Release Information

If you choose one, a text box for more information will appear.
Do we have permission to give your child Tylenol or Ibuprofen? *

Medical & Travel Release

The paper Registration and Medical Release form will be created with the information on this digital form. It will need to be signed by a parent or guardian at camp check in. Separate release for StudentLife Camps will also be required.

The following release will be included:
"My permission is granted for any Mount Pleasant Baptist Church staff member or sponsor in charge of the Student Life Camp to obtain medical attention in case of sickness or injury for (student's name).

"I/We, the undersigned, do hereby release, remise and forever discharge all sponsors and Mount Pleasant Baptist Church, Colonial Heights, Virginia, from any and all claims, demands, actions, or cause of action, past, present, or future arising out of any damage or injury while participating in this event. I also agree to pick up my student or reimburse MPBC for the cost of sending my student home in the event that he/she commits any infraction of the rules, puts their fellow participants in danger, or exhibits a disruptive attitude."

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