Georgia State Council Young People’s Union Elder Andre Falconer, President Minister Jessica Coker, Vice President Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Church Name *Pastor's Name *Youth Pastor/Leader Name *Section DividerName - 1EmailAgeNumbers onlyName - 2EmailAgenumbers onlyName - 3EmailAgeNumbers onlyName - 4EmailAgeNumbers onlyName - 5EmailAgeNumbers onlyName - 6EmailAgeNumbers onlyName - 7EmailAgeNumbers onlyName - 8EmailAgeNumbers onlyName - 9EmailAgeNumbers onlyName - 10EmailAgeNumbers onlyName - 11EmailAgeNumbers onlyName - 12EmailAgeNumbers onlyName - 13EmailAgeNumbers OnlyName - 14EmailAgeNumbers onlyName - 15EmailAgeNumbers onlyName - 16EmailAgeNumbers onlyName - 17EmailAgeNumbers onlyName - 18EmailAgeNumbers onlyName - 19EmailAgeNumbers onlyName - 20EmailAgeNumbers onlyNumber of Registrants You Are Reporting $10 Per Registrants *1 - $52 - $103 - $154 - $205 - $256 - $307 - $358 - $409 - $4510 - $5011 - $5512 - $6013 - $6514 - $7015 - $7516 - $8017 - $8518 - $9019 - $9520 - $100Youth Pastor/Leader Report$25 - Youth Pastor/Leader ReportNo Thank YouChurch Report$25 - Church ReportNo Thank YouComment or MessageTotal Amount$0.00Stripe Credit Card *CardName on CardCommentSubmit www.georgiastatecouncil.org Contact: http://thegscypu.com