Big Sandy July Family Conference Registration

Today's Date

Name*

First Last

Billing Address*

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

Have you changed addresses in the last year?

Yes
No

Previous Billing Address

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

Email*

Email Updates

Receive Family Conference Email Updates

Phone

Text announcements *

I would like to receive text announcements during the conference

*message and data rates may apply

Additional phone numbers to receive text announcements

Name	Phone
		Edit Delete
There are currently no Additional Numbers.

Maximum number of additional numbers reached.

Conference Registration*

Register by June 15 to receive 15% off your total registration! Discounts will be applied prior to check-out.

Family ($295)
Individual ($95)
Previous Conference Attended ($0)

First Time Attending a Conference*

Yes
No

Previous Conference Attended

Big Sandy April 2020
Northwoods June 2020
Sacramento 2020

ATI Family ID#

Families enrolled in ATI receive a $100 discount on their registration

Special Sessions

Please let us know if you plan to attend any of the following sessions.

Single Parents Luncheon
Homeschool Catalyst (Saturday, 9–12)

Family Information

Spouse*

Attending
Not Attending

Spouse's Name

First Last

Children Attending

Name	Gender	Birthdate	Program cost
				Edit Delete
There are currently no Children.

Maximum number of children reached.

Programs Total

Price: $0.00

Cost for Children Attending

Emergency Contact Number*

Cell phone number to contact in case children's program leaders need to contact you

Name*

First Last

Secondary Emergency Contact Number*

Cell phone number to contact in case children's program leaders need to contact you

Name*

First Last

Sign-out Permissions*

I give permission for my children 12 and older to sign out their younger siblings.

Yes
No

Sign-out permissions for additional individuals

I would like additional individuals to have permission to pick up my children from their programs. (Limit 3)

Individuals with Permission

Name
	Edit Delete
There are currently no Individuals with Permission.

Maximum number of individuals with permission reached.

Release Form

*

View the Release Form

I have read and agree to the Release Form

Total Amount

Early Registration Discount

Register by June 15 to receive 15% off your total conference registration cost!

$0.00

ATI Family Discount

$0.00

Amount we are sowing

All funds designated in this field are used to assist families who are under special financial strain. This provides you with the opportunity to experience the rewards of sowing and reaping that God promises: "He which soweth bountifully shall reap also bountifully" (II Cor. 9:6), and "Give, and it shall be given unto you" (Luke 6:38).

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name