register for 2009

 

You may register your church youth group by using one of the following options


  1. Bullet    Register online by clicking the link above

  2. Bullet    Call Pastor Tim at Shenandoah Baptist Church   (252) 883-3797 with registration information below.

  3. Bullet    E-mail cyb@carolinayouthblast.com with registration information below.

  4. Bullet    Send registration information by mail

        Pastor Tim Parker

        3894 Shenandoah Drive

        Rocky Mount, NC 27803

      

There is a $25 registration fee per church group (due when you register - please send by mail to address above with check made out to Carolina Youth Blast).  There is also a $10 fee for each individual (teen & adult).  This total is due when your group arrives on October 4.


Registration Information

  1. Bullet    Church Name

  2. Bullet    Youth Pastor/Sponsor Name

  3. Bullet    Youth Pastor/Sponsor E-mail Address

  4. Bullet    Church Address

  5. Bullet    City, Sate, Zip

  6. Bullet    Phone Number (including area code)

  7. Bullet    How many teens (6th-12th grade & adults)

  8. Bullet    Church Volleyball Tournament contestant?