NYG Youth Registration - Mt. Calvary Lutheran Church

Get Signed up for the Houston National Youth Gathering 2022

Name*
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Year of Graduation*
T-Shirt Size*
Parent name*
First Last
Phone*
Email*
Emergency Contact*
First Last
Can be a parent, but if parent is applying to attend gathering please choose another contact.
Emergency Contact Relationship*
Emergency Contact Phone #*
Media Release
- I allow images and likenesses of my child to be used for Mt. Calvary in house purposes and to be posted on linked social media sites.
Permission to Release Information*
My name, address and email address will be released to LCMS Youth Ministry (sponsor of the Gathering) and LCMS Concordia University System campuses for recruitment purposes. The LCMS Youth Gathering will not disclose your personal information to any other entity besides the two that are listed above.
- Yes, please provide my information to these entities
- No, please do not provide my information these entities.