Junior High Convention - November 17-19

Register for Junior High Convention 2017 by completing the form below. Junior High Convention is for students in grades 6-9 and will be held at Crab Orchard Missionary Baptist Church in Beckley. Cost is $55 per youth. If multiple members of your family are participating, please compelte one form per family member. Deadline for registration is October 29th.

Student's First Name

Student's Last Name

Email Address

Primary Phone Number

Emergency Contact's Name

Emergency Contact's Phone Number

Note to parents:

Required items: 2017 FAB Medical Form, Image Release on file. The cost is $55 and overnight accomidations will be announced. If you have questions please contact FAB Youth Minister, Dylan Bentley. Registration deadline is October 29, 2017.

By typing my name and clicking "REGISTER," I hereby give my permission for my child to participate in the 2016 Junior High Convention, November 16-18, 2016, in St. Albans, WV. Parental Permission - Type parent's name below:

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