Starkville Church of Christ - Individual Registration

Discover Youth Rally
Individual Registration

Name

Church

Address

City

State Zip Code

Phone

Grade in School

Tshirt Size (check below)
Adult Small Adult Medium Adult Large

Adult XLarge Adult XXL Adult XXXL

Housing Needed for Friday? (check below)
Yes No

Housing Needed for Saturday? (check below)
Yes No

Football Ticket for MSU vs. Middlle Tennessee State
Yes No

Registration is not complete until your check is received!

If Registering before October 1st - Registration without football ticket is $15. Registration with football ticket is $27

If Registering after October 1st - Registration without football ticket is $20. Registration with football ticket is $32.

Make check to Starkville church of Christ and mail to

Starkville church of Christ
Discover Youth Rally
1107 East Lee BLVD.
Starkville MS, 39760.