Louie Giglio John Piper Ravi Zacharias Christine Caine David Crowder Chris Tomlin

Kristian Stanfill Christy Nockels Brett Younker Hillsong United Rend Collective

Who: College Students & High School Seniors Where: Philips Arena – Atlanta, GA When: Leaving Wiggins Saturday, January 2, 2016 Returning Monday, January 4, 2016 Cost: $150 if registered by September 13 $200 if registered by October 25 (Non-refundable) Money for 4 Meals Deadline: October 25

Name: _____________________________________________

Address: _____________________________________________

_____________________________________________

Cell: _____________________________________________

Email: _____________________________________________

☐ High School Senior ☐ College (18-25)

In the case of an emergency, I give the leaders of First Baptist Church permission to seek medical attention for me/my child. If such an event occurs, I will not hold First Baptist Church or its chaperones responsible for any injuries or damages incurred. ________________________________________ _____________________ Signature (Parent if under 18) Date

   

Louie Giglio John Piper Ravi Zacharias Christine Caine David Crowder Chris Tomlin

Kristian Stanfill Christy Nockels Brett Younker Hillsong United Rend Collective

Who: College Students & High School Seniors Where: Philips Arena – Atlanta, GA When: Leaving Wiggins Saturday, January 2, 2016 Returning Monday, January 4, 2016 Cost: $150 if registered by September 13 $200 if registered by October 25 (Non-refundable) Money for 4 Meals Deadline: October 25

Name: _____________________________________________

Address: _____________________________________________

_____________________________________________

Cell: _____________________________________________

Email: _____________________________________________

☐ High School Senior ☐ College (18-25)

In the case of an emergency, I give the leaders of First Baptist Church permission to seek medical attention for me/my child. If such an event occurs, I will not hold First Baptist Church or its chaperones responsible for any injuries or damages incurred. ________________________________________ _____________________ Signature (Parent if under 18) Date