Registration

1. Conference / YP Activities

Please choose one of the following that you plan to attend: *
Conference OnlyYoung People's OnlyBoth

2. Adults

Adult #1:

First Name: *

Last Name: *

Age:

Gender: *
MaleFemale

Adult #2:

First Name:

Last Name:

Age:

Gender:
MaleFemale

3. Contact Information

Home Assembly: *

Email: *

Telephone:

6. Lodging

I will need accommodations for the following nights:*
FridaySaturday

I will need accommodations for the following nights:*
Lord's DayMonday

Where would you prefer to stay?*
The Camp DormitoryThe Hotel

I would like:
An additional cot in my roomAn additional crib in my room

If you need additional lodging (i.e. Arriving early/Staying late) or have other lodging needs, please let us know in the comments below.

Additional Lodging Comments:

7. Travel

Pickup needed? *
No pickup neededPickup needed

Airport, airline, arrival time, etc.

8. Comments

If there are any other needs or information we should know, please provide that in the comment section below.

Special Needs/Other information:

9. COVID-19 Waiver

Please note that a Covid-19 waiver will have to be submitted for each person attending. Parents will have to sign for those under 18 years of age. Please click here to access the form. Forms can be emailed ahead of time to JoeandRuth383@gmail.com or brought with you to the camp.

COVID-19 Acknowledgement: *
I understand a COVD-19 waiver form will need to be provided

Review & Submit

Please review all form entries before clicking 'Submit'.

Carrollton Bible Conference

Contact Information

Camp Muskingum

Camp Map

Microtel

Candlewood Suites

Assembly Website