we want people to leave feeling better about themselves.” Based out of Minneapolis/St.

Paul area, the JEREMY SANOSKI BAND has been building a reputation for high energy performnces that share a message of hope. Jeremy says, “We want them to see a hope in Christ that truly exists.

“With every show

Speck is the Youth and Family Communicator for Bethel University in Minnesota and speaks to thousands around the world annually. funny, relevant, raw, real, engaging, shoots straight, speaks the truth, riveting… Greg has spoken to 100’s of thousands of students in school and conference settings. His life purpose is intently focused on helping students find their hope in Jesus.


Fill out this section and submit with your deposit to your youth leader. STUDENT NAME: STUDENT PHONE #: List three possible roommates 1. 2. 3. Submit your deposit to your youth group leader by Dec. 7th for the Early Bird registration fee* $ Total Cost of Impact $ Deposit (due Dec. 7th) Balance due (Dec. 28th) $ Amount Enclosed:

Meet at: Fri PM 12.26.12 Register at DSM Marriott Session One & Impact Teams Recreation Options

by: Sat PM Supper with your group Session Three & Impact Teams After Hours Sun AM 12.30.12 Breakfast Guided Devo Session Four Depart 11:30a

*Registration fee is raised $25 (total $117) for registrations received by your group leader after Dec 7th

What if you had a chance to choose between a dozen great topics, topics that relate directly with how God wants to relate to you and how you can relate better with others and with God?

Sat AM 12.29.12 Breakfast Guided Devo Session Two Impact Teams Lunch 2 Breakout Sessions Free Time Dodgeball Tourney

NOTE: Complete both sides of this form and submit to your group leader with your deposit. Make checks payable to:

Conference registrations are non-refundable but are transferable to another person of the same gender from your group.

Permission/Medical release form
I, do give permission to to participate in the IMPACT Conference held a the Down Town Des Moines, IA Marriott, December 28-30, 2012. Should emergency medical treatment be necessary, I authorize one of the adult leaders to act on my behalf and approve the appropriate treatment. Special Medications:

What do you do when you have something going on and no one knows? What happens if someone finds out the darker side of you? Sexual sins can become dark secrets that hurt and damage no one but you. Are you willing to let God roam around in the closets of your soul? What if your life was open and free? What if you became unburdened? What if your stuff was no longer hidden?


Other Medical Information the group leaders should be aware of:

Student’s Name: Parent or Guardian: Insurance Company: Policy #: Signature of Parent/Guardian: Date: Parent emergency phone #:

Casual, warm clothes Toiletries Bible & pen Money for impact relief proj. & Sat. supper other instructions:
DECEMBER 28-30,2012
Central District


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