Youth Worker Update Form

Receive a FREE KINGDOM COME t-shirt for helping us update our records and serve your middle school and senior high youth.

Fill out the form below by March 1, 2019 and we’ll email a coupon for your shirt to the email provided below that you can redeem at the HIM 2019 Conference, March 21-23 at the Hawaii Convention Center. Offer limited to one form per church.

Your Name *
Your Name
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Church Phone Number *
Church Phone Number
Best person to contact about youth programs at your church: *
Best person to contact about youth programs at your church:
Youth Contact Phone:
Youth Contact Phone:
Preferred Method of Contact:
What best describes the person above?
Number of youth your church serves:
Are your youth planning on attending HIM 2019?