Motion19 Registration Form • BridgePointe Church

Please register below to attend the MOTION 19 student conference in Birmingham, Alabama on July 25-27.

Click Here for a link to the Flyer with all of the details.

Click Here to view the full schedule on the event website.

The total fee is $225. $100 non-refundable deposit must be received by April 1 to secure your spot.

The $125 balance will be due July 1.

We have purchased a limited number of tickets that will be allocated based on registration and deposits paid.

Be proactive about inviting friends. This will be an AMAZING experience!

STUDENT: Please complete the information below for student.

First Name

Last Name

Age as of July 26

School Grade as of Aug 2018

School You Attend?

Email Address

Home Address

Home City

Home State

Home Zip Code

Mobile Number

PARENT: Please complete the information below for parent(s).

Parent #1 - Name

Parent #1 - Cell

Parent #1 - Email Address

Parent #2 - Name

Parent #2 - Cell

Parent #2 - Email Address

Which parent will be the contact for all Motion19 correspondence?

Misc. Info

Roommate Preference

Anything else you'd like us to know about your student?

I plan to pay the $100 deposit by...

Pay Online: (https://pushpay.com/pay/bridgepointechurch)

Check: Made payable to BridgePointe Church

If you plan to pay by check, please remember the following...
- Check needs to be made out to BridgePointe Church
- Be sure to note "MOTION 19" in the memo line
- Place in the offering -or- mail to...BridgePointe Church, Attn: Jennifer Edwards, 130 Arnold Mill Park, Suite 100, Woodstock, GA 30188