Only check this if this is an update to a record you already submitted:

if checked, please complete the entire form

Name *

First Name

Last Name

Birth Date *

(includes those who will turn 14 in 2023)

MM

DD

YYYY

Gender *

Female

Male

Personal Phone *

(###)

###

####

Do you text on this phone? *

Yes

No

Preferred communication? *

Text

Email

T-Shirt Size *

X Small

Small

Medium

Large

X Large

2X Large

3X Large

Swimming ability: *

Strong

Moderate

Weak

Participant Agreement *

The above information is complete and correct. I agree to act in accordance with the “Statement of Responsibility” (see below). I also understand that I and/or my parent/guardian may be contacted with important youth conference-related information via email or text message (if mobile phone # is provided).

I AGREE

I have completed and turned in the attached forms *

If no, please download and print the forms attached at the bottom of this page. The forms must be completed and given to your ward youth leader or directly to a stake youth leader in order for you to participate in this youth conference.

Yes

No

Parent or Guardian Name *

First Name

Last Name

Parent or Guardian Phone (mobile preferred) *

(###)

###

####

Parent or Guardian Work Phone

(###)

###

####