PAYC25 Registration Please enable JavaScript in your browser to complete this form.PENNSYLVANIA YOUTH CONVENTION 2025 REGISTRATION FORMNote: Licensed ministers are free to attend all services. However licensed ministers are required to purchase an afterburner ticket if planning on attending. Standalone Afterburner tickets may be purchased separately on the Afterburner ticket form.Are you registering as an individual or for a group? *IndividualGroup*Groups of up to 20 can be registered together as long as the same payment is being utilized for the entire group and all members attend the same church and have the same pastor.* The group registration option includes afterburner tickets.Will you be purchasing afterburner ticket(s)? *YesNoHow many people will you be registering? (No Afterburner) *2 - $100.003 - $150.004 - $200.005 - $250.006 - $300.007 - $350.008 - $400.009 - $450.0010 - $500.0011 - $550.0012 - $600.0013 - $650.0014 - $700.0015 - $750.0016 - $800.0017 - $850.0018 - $900.0019 - $950.0020 - $1,000.00Do not include chaperone(s)How many people will you be registering? (With Afterburner) *2 - $150.003 - $225.004 - $300.005 - $375.006 - $450.007 - $525.008 - $600.009 - $675.0010 - $750.0011 - $825.0012 - $900.0013 - $975.0014 - $1,050.0015 - $1,125.0016 - $1,200.0017 - $1,275.0018 - $1,350.0019 - $1,425.0020 - $1,500.00Do not include chaperone(s)Are you registering a chaperone? *YesNoAre you registering as a chaperone? *YesNoName *FirstLastPhone *Age *Youth Ages 12-17 & Hyphen Ages 18+Email *Chaperone Name *FirstLastPhone *Age *Must be 18+ years old to register as a chaperoneEmail *Which class will you be registering for? *Youth (Ages 12-17)Hyphen (Ages 18+)ADD UP TO 20 REGISTRANTS BELOWRegister chaperone(s) aboveName #1 *FirstLastWhich class will this person be registering for? #1 *Youth (Ages 12-17)Hyphen (Ages 18+)Name #2 *FirstLastWhich class will this person be registering for? #2 *Youth (Ages 12-17)Hyphen (Ages 18+)Name #3FirstLastWhich class will this person be registering for? #3Youth (Ages 12-17)Hyphen (Ages 18+)Name #4FirstLastWhich class will this person be registering for? #4Youth (Ages 12-17)Hyphen (Ages 18+)Name #5FirstLastWhich class will this person be registering for? #5Youth (Ages 12-17)Hyphen (Ages 18+)Name #6FirstLastWhich class will this person be registering for? #6Youth (Ages 12-17)Hyphen (Ages 18+)Name #7FirstLastWhich class will this person be registering for? #7Youth (Ages 12-17)Hyphen (Ages 18+)Name #8FirstLastWhich class will this person be registering for? #8Youth (Ages 12-17)Hyphen (Ages 18+)Name #9FirstLastWhich class will this person be registering for? #9Youth (Ages 12-17)Hyphen (Ages 18+)Name #10FirstLastWhich class will this person be registering for? #10Youth (Ages 12-17)Hyphen (Ages 18+)Name #11FirstLastWhich class will this person be registering for? #11Youth (Ages 12-17)Hyphen (Ages 18+)Name #12FirstLastWhich class will this person be registering for? #12Youth (Ages 12-17)Hyphen (Ages 18+)Name #13FirstLastWhich class will this person be registering for? #13Youth (Ages 12-17)Hyphen (Ages 18+)Name #14FirstLastWhich class will this person be registering for? #14Youth (Ages 12-17)Hyphen (Ages 18+)Name #15FirstLastWhich class will this person be registering for? #15Youth (Ages 12-17)Hyphen (Ages 18+)Name #16FirstLastWhich class will this person be registering for? #16Youth (Ages 12-17)Hyphen (Ages 18+)Name #17FirstLastWhich class will this person be registering for? #17Youth (Ages 12-17)Hyphen (Ages 18+)Name #18FirstLastWhich class will this person be registering for? #18Youth (Ages 12-17)Hyphen (Ages 18+)Name #19FirstLastWhich class will this person be registering for? #19Youth (Ages 12-17)Hyphen (Ages 18+)Name #20FirstLastWhich class will this person be registering for? #20Youth (Ages 12-17)Hyphen (Ages 18+)LEADERSHIP INFORMATIONPastor's Name *FirstLastChurch Name *Youth Leader's Email *Youth Leader's Phone *PAYMENT INFORMATIONIndividual Registration (No Afterburner) *Price: $50.00Individual Registration (With Afterburner) *Price: $75.00Chaperone Registration (No Afterburner) *Price: $50.00Chaperone Registration (With Afterburner) *Price: $75.00Total *$0.00Credit Card *CardName on CardSubmit