IMPACT 2009
HARRISBURG HILTON
March 6-8, 2009
SPEAKER - DARREN WHITEHEAD
Visit his web site to get
more information premierespeakers.com/darren_whitehead
BAND - “MIKESCHAIR”
More info at www.mikeschair.com
COMEDIAN - TAYLOR MASON
You will find out what it means to
put your faith on the line and make a difference. You will be challenged to share your faith in
an intelligent manner. You will walk
away from IMPACT 2009 different than when you arrived.
The cost will be $80 per person for 4
in a room, $96 per person if 3 in a room and $115 per person for 2 in a room,
if you register by January 23rd.
A $25 deposit is required with your registration form (the balance will
be due by February 10th). If
you register after January 23rd, the cost is $94, $104, and $129
respectively. Rooming is required when
you register. Rooming changes can be
made until 2/17/09.
The conference will begin with registration
on Friday, 7-8pm, and will end at noon on Sunday. For more info contact us.
NOTES TO YOUTH LEADERS
In order to have adequate supervision
we are requesting each youth group to bring a ration of one adult to every five
students. Rooms will be filled on a
first come basis at four to a room.
Youth Groups, we will not be able to combine students from different
groups to fill a room. All youth groups
must pay per person rate based on the number of people in each room. NO exceptions! Please note that we must have rooming
included with registration.
This year we have some very special seminars scheduled for
Saturday.
Impact 2009
Registration Form
Amt Enc _____________ Date
_________________ Roommates:
(4 Per room)
_________________________
Your Name
_______________________________School ____________________________ _________________________
_________________________
Address
______________________________________________________________________ _________________________
I permit Central PA Youth
Ministries to use photographs of my child in publications and publicity
material, and for inclusion in the Central PA Youth Ministries image library.
City/State/Zip
_________________________________________________________________
Phone #
______________________________Birthday _____________Grade _____________
Parent/Guardian
Signature _____________________________________________________
Insurance
Company & Policy # __________________________________________________
$25
Deposit must accompany each registration form
(Check one only)
Attending with
Central PA Youth Ministries Group _________________ Leader
Name_________________________________________________
or Church Group
_______________________________________________Leader
Name_________________________________________________
Please cut and return this completed form to Central PA Youth Ministries, PO Box 189, Shamokin Dam, PA 17876