Young Men's Encounter

Young Men's Encounter is sponsored by the Illinois District Men's Ministries Dept in an effort to mentor boys ages 10-16. Supper and breakfast will be provided. Students will stay in the dorms Friday night.

Student Registration Info

Name

Phone

Email (Where registration email will be sent)

This address will receive a confirmation email

Address

Date of Birth

Church Name

Pastor's Name

Guardian Registration Info (if applicable)

Men are welcome to register and attend as part of a father/son team. This may be a biological father, youth pastor, Sunday school teacher, etc that is connected with a specific student that is attending.

Info below is only required if registering as a 'father/son' combo.

Name

Phone

Address

Email (Only if different than above email address)

This address will receive a confirmation email

Date of Birth

Church Name

Pastor's Name

Relationship to Student

Registration

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Oct 4-5, 2019

Please fill out this form and click submit.

Young Men's Encounter

Description

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