Chaperone Information Form

Please be sure to include all of the requested information. Each field is required in order to submit this form.

Important Information!!!

This information should be submitted on or before June 6, 2008.
If you have any questions concerning these forms or our conference procedure, please contact the International Youth Office.
Church
Youth Director
Senior Pastor
Address
Phone #1
Phone #2
Email 1
Email 2
   
Chaperone Name
Cellular #
Emergency #
Hotel    

Please list the name(s), age, and if you have a consent form for each person would like to serve:
Click here to download and print the consent/ liability

* Consent form is a .pdf file click here if you have problems viewing the file
Name of Youth
Age
Consent/ Liability Form (yes/ no)
No
No
No
No
No
No
No
No
No
No