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.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 CardNameSubmit www.georgiastatecouncil.org Contact: http://thegscypu.com