Change Conference @ HCC

Name

This address will receive a confirmation email

Phone

Address

Home Church (Youth Group)

Permissions

I hereby grant permission for Hope Community Church to record sounds, images, or video of my student(s) while attending the Change Conference. I also give permission for Hope Community Church at its sole discretion, to use these sounds, images, or videos in publications (including print, websites, and social media platforms) owned by Hope Community Church in relation to Core Youth Ministries.

Photo Permissions

Yes No

Food Allergies (We will be serving Pizza, Pop & Popcorn, and our Tuck Shop will be open!)

Group Registrations

Youth Leaders: We do not require the name/contact info of every student attending with you. Should we need to contact you about a COVID concern, the person completing this registration will be contacted, and it will be your responsibility to contact the students who attended with you, or provide that information.

We will be doing some MERCH PRIZE draws, and will collect first names at the door!

How many Leaders will be attending with your group? (FREE!)

Payment

If you would like to pay at the door please select $0 and leave the number of students who will be attending in the box below. *This form does have a limit of 25 students, if you are bringing more please shoot us an email at core@hopecc.ca*

Pay at the door - How many students will be attending? (If this number changes please email us at core@hopecc.ca)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Change Conference @ HCC

Description

Please Fix the Following