Name *

First Name

Last Name

Phone *

(###)

###

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Registration Type

Student (I am an enrolled student at a college or university campus)

Campus Ministry Staff or Intern (I am a non-student. I serve on a campus ministry team and/or my church college/young adult ministry leadership team)

Campus Director/College Pastor (I am a Campus Director or College/Young Adult Pastor)

Ignite Guest or Core Team

Housing

I will be staying on-site

I am local and will be staying off-site