IMPACT Nation Youth Registration

We are excited to invite your child to participate in the upcoming Holy Convocation. To ensure a smooth registration process, please complete the below youth registration form for your child. Registration is FREE for children aged 17 and under.

Child's Name

First Name

Last Name

Child's Gender

Male

Female

Child's Age

Child's T-Shirt Size

Parent's Email

Parent's Phone

Country

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Are there any allergies or medical conditions are staff should know about?