Register for Encounter 2023 (Groups of 10 or more) Encounter Registration - Groups of 10+ StudentsWe are excited to have you and your group join us in March! Prices for groups of 10+ studetns are: Youth Pastors & Spouse $0.00, Youth Leaders $75.00, Middle School, High School & College Students $115.00. These prices include conference registration, lodging, meals, and t-shirt.Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What address would you like your packed mailed to?Phone*Email* Church Name* Youth Pastor & Spouse RegistrationYouth Pastor & Spouse's Name*Please include the following information: Youth Pastor & Spouse's Name, Gender and Shirt Size. (Example: John Doe - Male - Adult X-Large) Youth Pastor & Spouse Registration*As a thank you gift to youth pastors and their spouse, we would like to cover your cost to attend Encounter 2023. Please indicate below if the youth pastor and spouse will be attending. Enter 2 if both youth pastor and spouse can attend, 1 if just the youth pastor or spouse can attend, or 0 if neither can attend.Please enter a number from 0 to 2.Leader RegistrationWill you have additional leaders attending Encounter with your students?*This does not include youth pastors & their spouse. Yes No Leader Registration*Leader cost is $75.00. This includes the Conference, meals, lodging, and t-shirt. Please enter the number of leaders that will be attending. (Please do not include Youth Pastors & Spouse) Price: $75.00 Quantity: Leader Names*Please include the following information: Leader(s) Name, Gender and Shirt Size. (Example: John Doe - Male - Adult X-Large)Student RegistrationStudent Registration (Group of 10+ rate)*This is for Middle School, High School and College Students. The cost is $125.00 per student - for a group of 10 or more it is $115.00. This includes the Conference, meals, lodging, and t-shirt. Please enter the number of students that will be attending. Price: $115.00 Quantity: Middle & High School Student Names*Please include the following information: Student's first & last name, Gender and Shirt Size. (Example: John Doe - Male - Adult X-Large)College Student NamesPlease include the following information: Student's first & last name, Gender and Shirt Size. (Example: John Doe - Male - Adult X-Large)PaymentTo bill your church, please enter BILLCHURCH10 Processing Fees* Price: $0.00 Total $0.00 Credit Card*Card Details Cardholder Name Refund Policy* I understand that no refunds will be given after March 1, 2023.