CHURCH PRE-REG. We’re so excited that your church will be attending Southeast Youth Camp. Church Name First Name Last Name Senior Pastor Name * First Name Last Name Youth Pastor Name * First Name Last Name Email * Phone Number (###) ### #### Church Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Will the Youth Pastor be attending camp? Yes No If NO, who will be the leader in charge? Total number of male students * Total number of female students * Total number of male adults * Total number of female adults * Message Thank you! We look forward to seeing you all Southeast Youth Camp!!