Last Name
IMPORTANT: Please add the name of your Church/Organization/Group in the "Last Name" field. If you do not have one, please enter your last name.
State of Church/Organization/Group:
City of Church/Organization/Group:
Denominational Affiliation:
Annual Conference(If you have no conference, select "None"):
Annual Conference, If Other:
Group Leader Name:
Group Leader Phone Number: ext.
Group Leader Email:
Is this the first year that your group has been to IGNITE?
How many students in grades 6-8 will be in your group?
How many students in grades 9-12 will be in your group?
How many adults will be in your group?