Online Registration

ONLINE Registration Form

RYE 2024

October 25-27, 2024 in Cedar Rapids, IA

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Church *

Group Leader *

Grade *

Choose One *

Youth Adult

Choose One *

Male Female

T-Shirt Size *

I Would Like a LONG SLEEVE t-shirt *

Yes No

Emergency Contact Info

Name *

First

Last

Phone Number *

Relationship to Student *

Gluten Free or other Dietary Restrictions. Please list any medications and frequency of doses. *

It is understood by signing below that the person attending this event is doing so at his/her own risk. In signing, we are agreeing not to hold the MID-AMERICAN BAPTIST CHURCHES, the First Baptist Church – Church of the Brethren (the Church on Northland), or the organizers of this event, responsible for any injuries that may occur during the weekend. Further, the parent signature below indicates the parent’s permission for the adult sponsor listed above to seek and give permission for appropriate medical treatment in the event of any emergency during which the parents cannot be reached. The youth signature below indicates a commitment on the part of the youth to follow all rules and directions given by the adults in charge. Failure to do so may result in parents being called to pick up their child prior to the end of the event. By attending this event you agree to be photographed and or video taped. Photos and video taken at this event can be used for commercial purposes without any compensation. Persons on any abusers registry are prohibited from attending any Mid-ABC Youth Events and Camps.

I have read the above. *

Yes

Name *

First

Last

This is the online registration form. Please note that a separate permission form needs to be signed by both the youth and their guardian and given to their pastor/youth leader. If paying by cash or check, payment needs to also be given to your pastor/ youth leader.
Early Registration Cost is $55.00 per student/leader. After October 11th cost is $60/participant.
If you chose the long sleeve shirt, cost is $58. After October 11th, $63/participant.
PLEASE make CHECKS out to Mid-ABC Region.

I have read the above *

Yes

Submit

RYE '23 (With Short Sleeve Shirt)

$63.00 $58.00

Registration fee for RYE '23 with Short Sleeve Shirt. Reduced rate until Oct. 11, 2024.

Price includes processing fee.

Shop

RYE '23 (Long Sleeve Shirt)

$66.00 $61.00

Registration fee for RYE '23 with Long Sleeve Shirt. Reduced rate until Oct. 11, 2024.

Price includes processing fee.

Shop