OnTrack at EC
Complete the form below to register for the event.
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First Name *
Last Name *
Gender *
T-Shirt Size *
(Adult Sizes)
Cell Phone Number (will be used for contact regarding EC purposes only) *
(XXX) XXX–XXXX
Email Address (that you use regularly) *
Street Address *
City *
State *
Zip Code *
Mailing Address (if different)
City
State
Zip Code
Name of High School *
If homeschooled, put "Homeschool" or name of Homeschool association.
High School Status *
Church Name *
Church Address (City, State) *
IPHC Conference Name (if applicable)
Pastor or Youth Pastor Name *
Describe in one paragraph why you wish to attend the Worship Leaders' Weekend Workshop: *
Allergies *
Please list any food allergies you have below for snack/meal planning purposes. If none, choose N/A.
Emergency Contact Name *
Emergency Contact Relationship to Student *
Emergency Contact Cell Phone Number *
(XXX) XXX-XXXX
Favorite Worship Artist? *
Yes, you can put more than one if you can't choose!
Favorite Worship Song? *
Yes, you can put more than one if you can't choose!
Voice Part (if known) *
Check any instruments you play: *
Required
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