Convention Registration Test Convention 2025 Church InformationBus Number (ADMIN ONLY)Dorm Assignment (ADMIN ONLY)I am registering as a:- Select -StudentSponsor (must be at least 21 years old)SpeakerThis is the pricing for your information: Regular rate Member Church ($480) Regular rate Non-Member Church ($530) Late rate Member Church ($530) Late rate Non-Member Church ($580) Regular rate expires at midnight on 4/16/25Your Church- Select -Non-member ChurchBeaverdam CRC, Hudsonville, MIBellingham URC, Bellingham, WABethany URC, Wyoming, MI *Bethel CRC, Manhattan, MTBethel Reformed OPC, Fremont, MIBethel URC, Jenison, MI *Burlington URC, Burlington, WACalvary CRC, Orange City, IACalvary URC, Loveland, COCedar OPC, Jenison, MICentral Ave. CRC, Holland, MIChain-o-Lakes OPC, Central Lake, MIChrist Reformed, Nampa, IDChrist Reformed, Santee, CAChrist Reformed, Sioux Falls, SDCloverdale URC, Boise, IDCommunity URC, Schererville, INCornerstone Christian Church, Medford, ORCornerstone URC, Hudsonville, MI *Cornerstone URC, Sanborn, IACovenant Grace Reformed Church, Lynden, WACovenant Reformed, Kansas City, MOCovenant Reformed, Pella, IACovenant Reformed, Carbondale, PACovenant URC, Byron Center, MICovenant URC, Pantego, NCCovenant URC, Kalamazoo, MICovenant URC, Newton, NJDoon URC, Doon, IADutton URC, Dutton, MIEastmanville URC, Eastmanville, MI *Escondido URC, Escondido, CAFaith URC, Beecher, ILFaith URC, West Olive, MIFirst Church PCA, Lansing, ILFirst CRC, Orange City, IAFirst CRC of Prinsburg, MNFirst URC, Oak Lawn, ILFirst URC of Chino, Chino, CAGig Harbor URC, Gig Harbor, WAGrace Fellowship OPC, Zeeland, MIGrace Reformed, Lethbridge, ABGrace URC, Alto, MI *Grace URC, Milwaukie, ORGrace URC, Waupun, WIHarvest OPC, Wyoming, MIHills URC, Hills, MNHudson Valley URC, Middletown, NYImmanuel Covenant Reformed, Abbottsford, B.C.Immanuel Fellowship, Kalamazoo, MI *Immanuel URC, DeMotte, INImmanuel URC, Listowel, ONImmanuel’s Reformed (URC), Salem, ORLamont CRC, Coopersville, MILittle Farms OPC, Coopersville, MILynden URC, Lynden, WALynwood URC, Lynwood, IL *Messiah’s IRC, Holland, MI *Messiah’s Reformed Fellowship, Brooklyn, NYNew Covenant URC, Twin Falls, IDNew Haven URC, New Haven, VTNorth Street CRC, Zeeland, MIOak Glen URC, Lansing, IL *Ontario URC, Ontario, CAPhoenix URC, Phoenix, AZPompton Plains Reformed Bible Church, NJ *Preakness Valley URC, Wayne, NJProvidence Reformed Church, Des Moines, IAProvidence Reformed Church, Winnipeg, MBProvidence Reformed Church, Meridian, IDProvidence URC, Strathroy, ONRedeemer OPC, Ada, MIRedeemer Presbyterian Church (PCA), Holland, MIRedeemer Reformed (RCUS), Crystal, MNRedeemer URC, Orange City, IARedeemer URC, St. John, INRock Valley URC, Rock Valley, IARockford Springs Community OPC, Rockford, MIRusk CRC, Allendale, MISecond CRC of Kalamazoo, MISeventh Reformed, Grand Rapids, MI *Sioux Center URC, Sioux Center, IAThe United Reformed Church of Sunnyside, Sunnyside, WAThe Well Church, Boise, IDTrinity CRC, Sparta, MITrinity Reformed Church, Cape Coral, FLTrinity Reformed Church (URC), Lethbridge, ABTrinity URC, Visalia, CATrinity URC, Caledonia, MI *URC of Thunder Bay, Thunder Bay, ONWalker URC, Grand Rapids, MIWest Sayville URC, West Sayville, NYWorthington CRC, Worthington, MNZeltenreich Reformed, New Holland, PAZion Reformed Church, Ripon, CAYour ChurchPreviousNextPersonal InformationTitle- Select -MissMrsMrRevDrFirst NameMiddle Name / InitialLast NameEmailPhoneAddressStreetCityStateZip CodeCountrySelect CountryCanadaUnited States (US)AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe BirthdayMonthDayYearPlease type in the month, day, and year of your date of birth.PreviousNextAge/Grade InformationAge As Of July 17, 2025- Select -141516171819Grade Completed As Of July 17, 2025- Select -9101112Gender- Select -FemaleMaleYou're a sponsor, there's no need to select your age. Please click "Next".You're a speaker, there's no need to select your age. Please click "Next".PreviousNextConvention WorkshopsYou will be placed in the guys-only mandatory workshop.You will be placed in the girls-only mandatory workshop.Please select your top five preferences in order for workshops to attendWorkshop 1- Select -Faith under Fire - Rev. Nick SmithThe Invisible War - Rev. Praveen MuthusamyStop, Drop, and Pray - Rev. Ken AnemaJesus Planned Freedom - Rev. Jeff De BoerThe Deconstruction Movement - Rev. Russell HermanAudience of One - Rev. Tyler WagenmakerForecasting your Future - Rev. Joel WoriesAnxiety Armor - Rev. Jason TuinstraBeyond a 4.0 - Rev. Bradd NymeyerThe Forgiveness Formula - Rev. Michael SpottsHigh Hopes - Rev. Bob Van ManenWorkshop 2- Select -Faith under Fire - Rev. Nick SmithThe Invisible War - Rev. Praveen MuthusamyStop, Drop, and Pray - Rev. Ken AnemaJesus Planned Freedom - Rev. Jeff De BoerThe Deconstruction Movement - Rev. Russell HermanAudience of One - Rev. Tyler WagenmakerForecasting your Future - Rev. Joel WoriesAnxiety Armor - Rev. Jason TuinstraBeyond a 4.0 - Rev. Bradd NymeyerThe Forgiveness Formula - Rev. Michael SpottsHigh Hopes - Rev. Bob Van ManenWorkshop 3- Select -Faith under Fire - Rev. Nick SmithThe Invisible War - Rev. Praveen MuthusamyStop, Drop, and Pray - Rev. Ken AnemaJesus Planned Freedom - Rev. Jeff De BoerThe Deconstruction Movement - Rev. Russell HermanAudience of One - Rev. Tyler WagenmakerForecasting your Future - Rev. Joel WoriesAnxiety Armor - Rev. Jason TuinstraBeyond a 4.0 - Rev. Bradd NymeyerThe Forgiveness Formula - Rev. Michael SpottsHigh Hopes - Rev. Bob Van ManenWorkshop 4- Select -Faith under Fire - Rev. Nick SmithThe Invisible War - Rev. Praveen MuthusamyStop, Drop, and Pray - Rev. Ken AnemaJesus Planned Freedom - Rev. Jeff De BoerThe Deconstruction Movement - Rev. Russell HermanAudience of One - Rev. Tyler WagenmakerForecasting your Future - Rev. Joel WoriesAnxiety Armor - Rev. Jason TuinstraBeyond a 4.0 - Rev. Bradd NymeyerThe Forgiveness Formula - Rev. Michael SpottsHigh Hopes - Rev. Bob Van ManenWorkshop 5- Select -Faith under Fire - Rev. Nick SmithThe Invisible War - Rev. Praveen MuthusamyStop, Drop, and Pray - Rev. Ken AnemaJesus Planned Freedom - Rev. Jeff De BoerThe Deconstruction Movement - Rev. Russell HermanAudience of One - Rev. Tyler WagenmakerForecasting your Future - Rev. Joel WoriesAnxiety Armor - Rev. Jason TuinstraBeyond a 4.0 - Rev. Bradd NymeyerThe Forgiveness Formula - Rev. Michael SpottsHigh Hopes - Rev. Bob Van ManenYou're a speaker, there's no need to fill any of this out. Please click "Next".PreviousNextDay AwayDear Attendees, Please note that you will need to choose between two activity options: Six Flags Great America or Six Flags Hurricane Harbor. It will not be possible to attend both. We encourage you to select the option that best suits your interests and enjoy your time to the fullest! Thank you for your understanding.Day Away Location- Select -Six Flags Great America - Amusement ParkSix Flags Hurricane Harbor - Water ParkPreviousNextRYS StoreRYS T-Shirt: Everyone receives a t-shirt, please select your size- Select -SMLXLXXLXXXLOptional PurchasesRYS Trucker Hat ($15)- Select -BlackConvention Sweatshirt ($30)- Select -SMLXLXXLXXXLPreviousNextRoommate InfoChoose one roommate or go potluck. Roommate must also list you on their registration form.- Select -PotluckSpecific person/people (you will be asked below)Name (first and last) and the church of your preferred roommate. Roommate must also list you on their registration form.Roommate's Church- Select -Option 1Option 2Beaverdam CRC, Hudsonville, MIBellingham URC, Bellingham, WABethany URC, Wyoming, MI *Bethel CRC, Manhattan, MTBethel Reformed OPC, Fremont, MIBethel URC, Jenison, MI *Burlington URC, Burlington, WACalvary CRC, Orange City, IACalvary URC, Loveland, COCedar OPC, Jenison, MICentral Ave. CRC, Holland, MIChain-o-Lakes OPC, Central Lake, MIChrist Reformed, Nampa, IDChrist Reformed, Santee, CAChrist Reformed, Sioux Falls, SDCloverdale URC, Boise, IDCommunity URC, Schererville, INCornerstone Christian Church, Medford, ORCornerstone URC, Hudsonville, MI *Cornerstone URC, Sanborn, IACovenant Grace Reformed Church, Lynden, WACovenant Reformed, Kansas City, MOCovenant Reformed, Pella, IACovenant Reformed, Carbondale, PACovenant URC, Byron Center, MICovenant URC, Pantego, NCCovenant URC, Kalamazoo, MICovenant URC, Newton, NJDoon URC, Doon, IADutton URC, Dutton, MIEastmanville URC, Eastmanville, MI *Escondido URC, Escondido, CAFaith URC, Beecher, ILFaith URC, West Olive, MIFirst Church PCA, Lansing, ILFirst CRC, Orange City, IAFirst CRC of Prinsburg, MNFirst URC, Oak Lawn, ILFirst URC of Chino, Chino, CAGig Harbor URC, Gig Harbor, WAGrace Fellowship OPC, Zeeland, MIGrace Reformed, Lethbridge, ABGrace URC, Alto, MI *Grace URC, Milwaukie, ORGrace URC, Waupun, WIHarvest OPC, Wyoming, MIHills URC, Hills, MNHudson Valley URC, Middletown, NYImmanuel Covenant Reformed, Abbottsford, B.C.Immanuel Fellowship, Kalamazoo, MI *Immanuel URC, DeMotte, INImmanuel URC, Listowel, ONImmanuel’s Reformed (URC), Salem, ORLamont CRC, Coopersville, MILittle Farms OPC, Coopersville, MILynden URC, Lynden, WALynwood URC, Lynwood, IL *Messiah’s IRC, Holland, MI *Messiah’s Reformed Fellowship, Brooklyn, NYNew Covenant URC, Twin Falls, IDNew Haven URC, New Haven, VTNorth Street CRC, Zeeland, MIOak Glen URC, Lansing, IL *Ontario URC, Ontario, CAPhoenix URC, Phoenix, AZPompton Plains Reformed Bible Church, NJ *Preakness Valley URC, Wayne, NJProvidence Reformed Church, Des Moines, IAProvidence Reformed Church, Winnipeg, MBProvidence Reformed Church, Meridian, IDProvidence URC, Strathroy, ONRedeemer OPC, Ada, MIRedeemer Presbyterian Church (PCA), Holland, MIRedeemer Reformed (RCUS), Crystal, MNRedeemer URC, Orange City, IARedeemer URC, St. John, INRock Valley URC, Rock Valley, IARockford Springs Community OPC, Rockford, MIRusk CRC, Allendale, MISecond CRC of Kalamazoo, MISeventh Reformed, Grand Rapids, MI *Sioux Center URC, Sioux Center, IAThe United Reformed Church of Sunnyside, Sunnyside, WAThe Well Church, Boise, IDTrinity CRC, Sparta, MITrinity Reformed Church, Cape Coral, FLTrinity Reformed Church (URC), Lethbridge, ABTrinity URC, Visalia, CATrinity URC, Caledonia, MI *URC of Thunder Bay, Thunder Bay, ONWalker URC, Grand Rapids, MIWest Sayville URC, West Sayville, NYWorthington CRC, Worthington, MNZeltenreich Reformed, New Holland, PAZion Reformed Church, Ripon, CAPreviousNextEmergency Contact Information 1Emergency Contact First NameEmergency Contact Last NameEmergency Contact EmailEmergency Contact PhoneEmergency Contact Alt. Phone (optional)Emergency Contact AddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryCanadaUnited States (US)Emergency Contact's Relationship to RegistrantPreviousNextEmergency InformationIf you are under 18, please have a parent/legal guardian fill this out.What should we know about the registrant if there's an emergency?Please list any special needs we may need to know about (eg. wheelchair access, etc.)Does the registrant have / had allergies? Yes NoPlease explain your allergiesDoes the registrant have / had medical conditions? Yes NoPlease explain your medical condition(s)Does the registrant have / had any physical restrictions? Yes NoPlease explain your physical restrictionsIs the registrant currently taking any medications? Yes NoPlease explainCurrent Medications and Dosage(s)Has the registrant ever had a concussion? Yes NoPlease tell us when and how many concussions. NOTE: If a conventioneer has had a concussion less than 3 months prior to Convention, they may not participate in our organized sports. We ask that you discuss any medical conditions or any important medications with the attending convention sponsor. This is for the protection of your own child and /or in case of an emergency. The size of our convention has become too large for us to monitor all of the medical forms.Name(s) of sponsors to whom the registrant may be releasedI certify that the information on this form is true to the best of my knowledge. I understand that every effort will be made to contact me, but I do hereby give my permission for the Convention staff or any licensed physician to render emergency medical care in the event of a medical emergency. I hereby release Reformed Youth Services, its employees, volunteers, and other youth leaders from any liability for any claims of damages, injuries, or illness to myself/my child. I understand that by signing this agreement, I absolve Reformed Youth Services, its employees, volunteers and other youth leaders for any liability for any claims of damages or injury to myself/my child and my property for any injury or damages that may occur, including serious injury or death. I also agree not to sue Reformed Youth Services, its employees, volunteers and other youth leaders for any liability for any claims of damages or injury to myself/my child or my property. I have read this release and agreement not to sue. I understand it and I am bound by its provisions. *Please type your name.*Today's DatePreviousNextInsurance Information I do not have insurance at this timePolicy Holder First NamePolicy Holder Last NameInsurance CompanyInsurance Policy NumberInsurance Group NumberPreviousNextReview and SignConvention Rules Conventioneers will be cooperative, contribute to the well-being of all, participate in convention activities and abide by all rules determined by the convention committee. No entering the dorm rooms of persons of the opposite sex. Boys and girlsmay not occupy the same dorm room at any time. No possession or use of alcohol or drugs on campus or off campus. No smoking at any time (including sponsors). It is illegal under United States law for persons under the age of 18 to smoke. This includes all tobacco products. Vaping is not allowed. Weapons, knives and explosive devices are not permitted. Conventioneers will adhere to the dress code at all times, includingtournaments and day away. Conventioneers will respect college property and may be held responsiblefor property damages incurred. Attendance at all convention functions is mandatory.8. No electronic equipment, including cell phones (until Friday morning for students), computers, iPods, video games, etc. Rules Violation Consequences If any egregious infraction takes place, such student will be sent home the following morning at their parents’ expense and may not be able to attend next year’s event. Students who are outside after our designatedcurfew and are resistant to committee and sponsor direction to return totheir dorm will be considered in violation of their promise to “abide by all rules determined by the RYS Board.” The students’ convention experience will be concluded immediately. The student becomes the full responsibility of the sponsor. These rules were printed on the registration form (here) and electronically signed by everyone. I have read and agree to the Convention RulesPreviousNextReview and Sign RYS CONVENTION DRESS CODEFOR STUDENTS AND SPONSORS The RYS Board and convention planning committee is recommending a policy per I Timothy 2:9, “to dress modestly, with decency and propriety.” It is our responsibility toprovide a proper atmosphere for biblical learning and fellowship. We would respectfullyask you to honor the policies stated below during the entire convention, including theday away, sports tournaments, and the talent show. Ultimately, dress code is at the discretion of theBoard and convention committee. SHIRTS Should be modest and loose-fitting, covering all personal areas (including midriffs and cleavage), not showing undergarments Sleeves are required (no tank tops, sleeveless shirts, cold shoulders or cut-outs) Should not contain writing or images of an inappropriate nature SHORTS, JEANS & SKIRTS All shorts will require a 5 inch inseam or longer. No writing on the seat, no obvious holes. Modest and loose-fitting, not showing undergarments Sports events: dress code still applies The RYS National Convention Planning Committee I have read and agree to the Dress Code I agree to complete the child safety training that will be sent to me early this summer. Are you your youth group primary contact (Primary Contact)?Where should registration information and bill be sent?Address Line 1Address Line 2CityStateZip CodeCountrySelect CountryCanadaUnited States (US)AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePlease list a phone number for discussing registration info or billingPreviousNextYou are almost on your way to Convention! 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