Note: You do not have to set up a new PalPal account to register. To complete your registration, you simply need to enter your credit card information at the PalPal page.

Register…

First Name:
Last Name:
Desired name on tag:
Gender: Male Female
Vocation:
Age:
(Young people attending must be 14 or older and a freshman in high school. If under 18, must be accompanied by an adult or (where there are more than two family members attending) in an adjacent room.
Marital Status: Single Married
 

Spouse's First Name:
Spouse's Last Name:
Desired name on tag:
Spouse's Age:
 

Children Attending:

Child #1's First Name:
Child #1's Last Name:
Desired name on tag:
Gender: Male Female
Child #1's Age:

Child #2's First Name:
Child #2's Last Name:
Desired name on tag:
Gender: Male Female
Child #2's Age:

Child #3's First Name:
Child #3's Last Name:
Desired name on tag:
Gender: Male Female
Child #3's Age:

Child #4's First Name:
Child #4's Last Name:
Desired name on tag:
Gender: Male Female
Child #4's Age:

Child #5's First Name:
Child #5's Last Name:
Desired name on tag:
Gender: Male Female
Child #5's Age:

Child #6's First Name:
Child #6's Last Name:
Desired name on tag:
Gender: Male Female
Child #6's Age:

Child #7's First Name:
Child #7's Last Name:
Desired name on tag:
Gender: Male Female
Child #7's Age:

Address Line 1:
Address Line 2:
City:
State:
Zip:
Country:
Email Address:
Confirm Email Address:

Church Name:
Location:
(City/State)

Pastor's Name:

Room Arrangements: Each room has twin beds. Please indicate your rooming preferences in the space below.


Travel Info…


  Arrival Departure
Airport:

Date:

Time:

Airline:

Flight Number:


Complete…

Promotional Code:
Registration Rates: Dorm – Meals – Individual – $250
Dorm – Meals – Couple – $440
Commuter – Meals – Individual – $140
Commuter – Meals – Couple – $255
Commuter – No Meals – Individual – $75
Commuter – No Meals – Couple – $130
 
In registering, I acknowledge that my photo may be taken during this conference and may be used by Heritage Baptist Church for the purpose of advertising or promoting its products and events.
 
 

We are sorry, but are unable to provide discounts for those who are not able to attend the entire conference.

Cancellation Policy: Cancellations submitted by midnight on July 3 will receive a refund minus a $30 processing fee. No refunds will be given after that deadline. Request cancellation.