Name*

First

Last

Email*

Church Name*

Address

Address 1

Address 2

City

Province/State

Postal Code

Country

Select age range of people you are registering*

18-21 yrs old

21 – 25 yrs old

26 – 30 yrs old

30+

Multiple Select

I agree to adhere to all rules and regulations as instructed and confirm that I am 18 years old or over.

I understand that if a place is secured, I will need to complete a medical form and send it to the BUC Youth Department.

People you are paying forIf you are paying for more people, add their names in the box below separated by a comma

Seventh-day Adventist® Church

Adventist Youth in the United Kingdom and Ireland