Are you registering a leader or a student? *

Leader
Student

Leader First Name *

Leader Last Name *

Leader Preferred Name (if applicable) *

Leader Email *

Leader Phone Number *

Relationship to students *

Affiliation *

Students' names (if known)

Enter the first and last name of each student.

I confirm that I have signed the TWU waiver for adult participants.

Student Info

Student First Name *

Student Last Name *

Student Preferred Name (if applicable)

Student Email *

Student Sex *

Student Grade *

What church does the student attend, if any?

What are the student's post-secondary plans, if any?

Name of a friend or leader the student would like to be paired with for the Amazing Race game, if any

Parent Info

Parent First Name *

Parent Last Name *

Parent Email *

Parent Phone Number *

Is the parent listed above. the Emergency Contact? *

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Relationship to the Student *

Please check this box if the Parent(s) would be interested in attending our Parent Equipping Session on the morning of the Western Youth Summit.

Checking this box does not confirm your attendance. Those who indicate that they are interested will be sent more information closer to the event date on May 23, 2026.

I confirm that the student's parent has signed the TWU waiver for student participants.

Dietary Restrictions

Breakout Session 1 *

Please select one

Breakout Session 2 *

Please select one

If any of the information that you have provided needs to be updated after submission, please email lindsay@apologeticscanada.com.

Registrations are refundable up to May 8, 2026 and are transferable until May 20, 2026.

Thank you for your submission!

Thank you for filling out the form! Please make the payment to complete the registration process.

Thank you for your submission!

Thank you for filling out the form! Please make the payment to complete the registration process.

Western Youth Summit 2026

Student Info

Parent Info

Apologetics Canada Conference 2025 BC Recordings

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