Skip to content

2024 LYA Registration

Please enable JavaScript in your browser to complete this form.
Name of Adult Paying for Registration

Attendee Registration

Name of student attending LYA (Attendee)
Address
Gender (Biological Sex at Birth)
Attendee is a member of an ELS Congregation.
Attendee Will Particpate in LYA Choir
Attendee Will Participate in LYA Band
Service Project or Missions Sectional (Choose One)
Excursion (Choose One)
Breakout Session #1 (Select One)
Breakout Session #2 (Select One)
Breakout Session #3 (Select One)
Parent or Guardian Email
Birthdate of Attendee
Attendee has attended LYA in the past.
Attendee T-Shirt Size
Attendee Agreement: As part of a Christian group sponsored activity, I understand that I will be expected to act responsibly toward the group as well as myself. I agree that I will not use drugs or alcohol during LYA.
I have discussed the above statements with the attendee. I feel that he/she understands the importance of appropriate behavior during LYA.
Clear Signature
As the parent/legal guardian of the minor listed on this form, I give my permission to the LYA Convention staff, in the case of an emergency where medical treatment is required, to obtain the services of a licensed physician. I will be notified if such an emergency exists.
Price: $300.00
Facebook
Twitter
Visit Us
Follow Me
Instagram
Vimeo