Registrar Contact Info Form

If you have been approved to be a registrar for the 2013 Presbyterian Youth Triennium, please fill out and submit the form below. Click here to learn about registrar responsibilities. (Note: Please do not use this form if you are signing up to be a Triennium participant.)

Has the Executive Presbyter, Head of Staff or Youth Ministry contact of your presbytery/church approved of your role as registrar?*
- Yes
- No
We appreciate your interest in serving as a registrar for the 2013 Presbyterian Youth Triennium. Presbyteries and congregations should be aware of and/or approve of your service as a registrar. Please come back to the website when they have been informed.
Presbytery/Church*
The presbytery or church that you are representing
Registrar Name*
FirstLast
Registrar Email*
Enter EmailConfirm Email
Registrar Mailing Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Primary Phone Number*
Mobile Phone Number
Other phone number
Home, office, etc.
Fax number
Occupation*
- Presbytery Employee
- Church Employee
Tell us what you do during the day....
Type your name to agree to the Statement of Service below*
I am aware of the responsibilities I am taking on as a Triennium registrar. I have reviewed the document "Registrar Responsibilities Overview" and understand what I will be doing.
Phone
This field is for validation purposes and should be left unchanged.

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