Wufoo

Conference Registration

After filling out this form you will be redirected to our bookstore for payment.

Name * First Last
Email *
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Ministry Involvment
Age Range *
What Track in the Conference *
Second Adult First Last
What Track in the Conference for Second Adult
Are you bringing youth to the youth conference? * Yes No
Youth Conference is for 14 to 18 year olds.
First Youth First Last
Second Youth First Last
Are you bringing children? * Yes No
Childcare will be provided in a children's ministry day camp format at $25 per child or $30 per family for the week.
Please list each child's name and age
Second Child
Third Child
Fourth Child
Interested in first come, first served host home? Yes No
Once you press the submit button you will be taken to the Destiny City Bookstore Conference web page to pay with a credit card. If you need to pay with another form of payment still submit this form then contact us at 253-627-5503. Once at the bookstore page, you can purchase as many passes as needed and applicable discounts will automatically be given.
Do Not Fill This Out