Registration

First name

Last name

Gender

Male

Female

Date of Birth (YYYY-MM-DD)

Note: Remember that you will have to fill out and send us this minor consent form if you have not yet turned 18 when the conference starts.

Email

Telephone

Mailing address

Please fill out which days you plan to be attending the conference and also which meals you would like to have.

For details about the prices, click here (opens in a new tab or window).

Note: All meals will be good, healthy, vegan-vegetarian meals.

Note:There are several lodging options this year. Please contact: info (at) mtycweb.org for more information.

Do you want an MTYC T-Shirt? (free with registration)

Small

Medium

Large

Xtra-Large

None

Are you bringing any transportation?

Car

Van

Bus

Other

Do you have any allergies?

Do you have any special needs or requirements?

I'm interested in helping with

Meal preparation

Media (i.e. audio, video)

Being an usher or greeter

On-site registration

Other

I'm interested in contributing to the music during the conference. I play an instrument in one or more of the following categories

String instruments

Woodwind instruments

Brass instruments

Piano

Singing

Other

How did you hear about the MTYC 2012?

Poster

Brochure

Church

Friend

Internet

Other

I understand that I, as a participant, may be photographed and videotaped during the event. I hereby grant to the Montana Youth Conference (MTYC) my permission and the right to use this material for any lawful purpose, including advertising, and release MTYC and its representatives from any and all liability.

I'm fine with that