NMC Registration Form

Please note that this form is to register for the conference only and does not include your meals & accommodations for the conference.
Please CLICK HERE to register with RockRidge Canyon for your meals & accommodations.

"*" indicates required fields

Hidden

Date

Registration type*

Are you...?*

YFC/YU Staff

Board Member

Volunteer

NMC Guest/Sponsor

Other

Please specify*

Name*

First Last

Company/Ministry Name*

Email*

Enter Email Confirm Email

Daytime Phone*

Mobile (if daytime phone is mobile, please also input it here)

Chapter Information

Chapter*

If "Other", please specify:*

Supervisor's Name*

If you are a board member, please type in "Board" here

Supervisor's Email*

If you are a board member, please use board@yfc.ca here.

Will you attend the Day of Prayer?*

The Day of Prayer will be held on June 30 - plan to arrive the day before. More information on the NMC site at yfc.ca/nmc

Will others attend NMC with you?*

Please select "Yes" if your spouse, children, siblings, parents or anyone else (friends, your kids' friends, etc.) will be at NMC with you.

How many additional adults?*

18 and over

How many children?*

0-17

Adult Participant 1

Relationship*

Name*

First Last

Receive NMC-related emails?*

Attend Day of Prayer?*

Mobile

Adult Participant 2

Relationship*

Name*

First Last

Receive NMC-related emails?*

Attend Day of Prayer?*

Mobile

Adult Participant 3

Relationship*

Name*

First Last

Receive NMC-related emails?*

Attend Day of Prayer?*

Mobile

Adult Participant 4

Relationship*

Name*

First Last

Receive NMC-related emails?*

Attend Day of Prayer?*

Mobile

Additional Adult Participants

How many other additional adults are you providing information for?*

For example, if 10 adults are being registered in total, including the main registrant, you need to select "5" here and provide their details below.

How many of these other additional adults are attending the Day of Prayer?*

Please provide all the information requested for the other adult participants*

Children

NOTE: Kids Ministry and Childcare is only being offered during session times and during the banquet. Parents are responsible for their children at all other times.
IMPORTANT: For your kids to participate in the program, you will have to agree to the waivers and conditions for the program. Check boxes will be provided for each child. You can read the waivers and conditions HERE.

Mobile phone for kids program-related and emergency contact (required)*

If any of your children has any physical, emotional, behavioural concerns or limitations, please contact us at nmc@yfc.ca.

First Child

Name*

First Last

Gender*

Age on June 30, 2022*

Will participate in child/youth programs

*The following checkboxes are required for your child to participate in the child/youth programs

The information received is confidential and is being gathered for the purpose of serving your child while in the care of YFC staff and volunteers during the National Ministry Conference (NMC). Any medical information collected here serves to authorize YFC and its staff and volunteers to obtain medical assistance in emergencies.

Photo/Video Consent*

As parent/guardian, I agree to permit reasonable use of photos, videos, written materials or other pictures of my child/youth during the child/youth programming provided during NMC, understanding that they could be used by YFC Canada in the promotion of future YFC activities and programs. I understand that these could appear in agency newsletters, brochures, website or social media; or in local newspapers, on television, and might identify participants by first name.

Permission to Participate/Waiver*

By checking the corresponding box, I give permission for the indicated youth/child in my care to participate in the event set forth by YFC and any of its subsidiary programs. Furthermore I do not hold YFC or any of its subsidiary programs responsible for any harm that may occur to the above named youth/child on this form as a result of his/her willful participation in the event.

Acknowledgement/Release*

I undertake and agree to indemnify and hold harmless Youth for Christ/Youth Unlimited, Program Personnel, YFC Canada, its trustees, directors, corporation members, servants, agents, volunteers, employees and all program personnel from any and all actions, causes of actions, claims and demands whatsoever whether existing as of this date or in the future; and, against any loss, damage or injury suffered by my youth/child as a result of being part of the activities of NMC, as well as of any medical treatment authorized by the supervising individuals representing YFC Canada. This consent and authorization is effective only when participating in events sponsored by YFC Canada.

In the event of an emergency, I authorize the administration of any first aid treatment necessary, and in the case of medical emergency, give permission to the Physician selected by the supervisors to hospitalize and secure proper treatment for my youth/child. Every effort will be made to contact parents or guardians before such action.

I acknowledge that it is my responsibility to take the necessary steps for insuring against personal injury, property damage, or any loss by my youth/child or by self. I also acknowledge that I must assume total responsibility for ALL medical coverage, accidental insurance and personal injury, or any other loss or damage.

By checking the corresponding box on the NMC Registration Form, I state that I have read, understood, and hereby grant permission for my youth/child to participate fully in the activity described above and agree to these waivers and conditions.

Second Child

Name*

First Last

Gender*

Age on June 30, 2022*

Will participate in child/youth programs

Photo/Video Consent*

Permission to Participate/Waiver*

Acknowledgement/Release*

Third Child

Name*

First Last

Gender*

Age on June 30, 2022*

Will participate in child/youth programs

Photo/Video Consent*

Permission to Participate/Waiver*

Acknowledgement/Release*

Fourth Child

Name*

First Last

Gender*

Age on June 30, 2022*

Will participate in child/youth programs

Photo/Video Consent*

Permission to Participate/Waiver*

Acknowledgement/Release*

Additional Children

Additional children ages 0-2*

Additional children/youth ages 3-6*

Additional children/youth ages 7-12*

Additional youth ages 13-17*

For additional children/youth, please include all the information requested above (name, gender, age, etc.)

Celebration Banquet (Credentials Awarded)

Additional Banquet Guests

If you are registered for the Conference, this Banquet is included.

Extra tickets for the Celebration Banquet are not being sold this year. If you would like to invite a guest to the Celebration Ceremony, a link will be provided closer to the event for your guest to view the Ceremony.

Transportation

Will you need transportation from/to the airport?*

From the airport to the conference (arrival)

From the conference to the airport (departure)

Please select all that apply - if you need transportation both ways, please check both boxes

Pick-up / drop off from Kelowna Airport (YLW) only.

*Please indicate if you will be travelling with children. You will be responsible to provide car seats or booster seats.

Total number needing transportation (including children)?*

I don't know my itinerary yet - I will send it later

To send us your itinerary later, you can use the form at https://forms.yfc.ca/nmc-travel-update/. You will receive this link on your confirmation email. Pick-up / drop off from Kelowna Airport (YLW) only

Are you traveling with children?

I am traveling with children and acknowledge I am responsible for providing a car seat/booster for each child.

Arrival - Airline*

Please specify*

Arrival - Flight Number*

Arrival - Date*

Arrival - Time*

Please specify additional ARRIVAL information if needed - please indicate how many people and how many car seats/boosters, etc.

Departure - Airline*

Please specify*

Departure - Flight Number*

Departure - Date*

Departure - Time*

Please specify additional DEPARTURE information (if needed) - please indicate how many people and how many car seats/boosters, etc.

Additional comments

Fees

Conference Fees

NMC Registration Fee - Early Bird*

Price:

Early bird ends April 30th!

NMC Registration Fee*

Price:

Kids and other adults

NMC Additional Adults Registration Fees - Early Bird*

Price: $ 100.00 CAD

NMC Additional Adults Registration Fees - Early Bird*

Price: $ 100.00 CAD

NMC Additional Adults Registration Fees*

Price: $ 100.00 CAD

NMC Additional Adults Registration Fees*

Price: $ 100.00 CAD

NO - NMC Adults Registration Fees*

Price: $ 100.00 CAD

NMC Child 1 (0-2) registration fee*

Price:

NMC Child 1 (3-6) registration fee*

Price:

NMC Child 1 (7-12) registration fee*

Price:

NMC Child 1 (13-17) registration fee*

Price:

NMC Child 2 (0-2) registration fee*

Price:

NMC Child 2 (3-6) registration fee*

Price:

NMC Child 2 (7-12) registration fee*

Price:

NMC Child 2 (13-17) registration fee*

Price:

NMC Child 3 (0-2) registration fee*

Price:

NMC Child 3 (3-6) registration fee*

Price:

NMC Child 3 (7-12) registration fee*

Price:

NMC Child 3 (13-17) registration fee*

Price:

NMC Child 4 (0-2) registration fee*

Price:

NMC Child 4 (3-6) registration fee*

Price:

NMC Child 4 (7-12) registration fee*

Price:

NMC Child 4 (13-17) registration fee*

Price:

NMC additional children registration fees

Price: $ 0.00 CAD

Day of Prayer

Day of Prayer - Participant*

Price:

Day of Prayer - Additional Adult 1*

Price:

Day of Prayer - Additional Adult 2*

Price:

Day of Prayer - Additional Adult 3*

Price:

Day of Prayer - Additional Adult 4*

Price:

Day of Prayer - Other Additional Adults

Price: $ 30.00 CAD

Transportation Fees

Transportation - Arrival*

Price: $ 25.00 CAD

Transportation - Departure*

Price: $ 25.00 CAD

Additional Fees

Credentialing Banquet - Additional Guests*

Price: $ 25.00 CAD

TOTAL

Total NMC fees

I am paying by*

Payment Information

Credit Card Information

Please check if you have activated a PayPal Checkout feed for your form.

Card Holder Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Due to the uncertain time that we are living in, Early Bird registration is a ‘register now, pay later’ type of registration.

By pressing “Submit” you are confirming your NMC 2022 registration and your Chapter will receive an invoice for your registration closer to the event.

Please click "Submit" only once. It might take up to a minute to process the form.

Name

This field is for validation purposes and should be left unchanged.

NMC Registration Form

Chapter Information

Adult Participant 1

Adult Participant 2

Adult Participant 3

Adult Participant 4

Additional Adult Participants

Children

First Child

Second Child

Third Child

Fourth Child

Additional Children

Celebration Banquet (Credentials Awarded)

Transportation

Fees

Conference Fees

Kids and other adults

Day of Prayer

Transportation Fees

Additional Fees

TOTAL

Payment Information

REGISTRATION IS CLOSED