Summer Institute Registration

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Today's Date

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Summer Institute Year

Name*

First Last

Gender*

Email*

Cell Phone*

Birth Date*

MM slash DD slash YYYY

Your YFC Chapter*

Please specify*

Supervisor*

First Last

Supervisor's Email*

Dietary Needs

Gluten-Free

Dairy-Free

Seafood Allergy

Nut Allergy

Vegetarian

Vegan

Other

Please specify your dietary needs*

Allergies/medical requests details

Core Ministry area(s) that you serve in*

Community Outreach

Critical Care

Innovative Centres

Leadership Development

Marketplace Innitiatives

Trips, Camps & Events

Admin/Support Staff

I am an Executive Director

Do you need transportation from/to the airport?*

Please provide your flight details if you have them

If you don't have your flight details yet, please send them to Dana at dana.mcmahon@yfc.ca as soon as you have them.

Emergency Contact Name*

First Last

Emergency Contact Phone*

SI 2026 Registration Fee*

Price:

Total

Payment Method*