Young Ladies Journey may 29th – June 6th | Northwoods, MI Registration 1 Personal Info2 Evaluation Questions3 Agreements Today's Date Date Format: MM slash DD slash YYYY Start Your RegistrationRegistration Type*RegularATI Member (Currently Enrolled)Journey AlumniATI ID#*Late Registration FeeAll registrations within two weeks before the start of the Journey are charged a $75 late registration fee. Price: $75.00 Total $0.00 Personal InfoEmail* Journey Updates Please subscribe me to the Journey updates email list! Secondary EmailThis is a cc email. For parents or individual that will be involved with travel. PrefixMr., Mrs., etc.Name* First Last Gender*MaleFemaleAge*Date of Birth* Date Format: MM slash DD slash YYYY Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Phone*Cell PhoneUpload PicTrouble? Send to [email protected]Parents' Full Names*Parents' Email* Parents' Home Phone*Parents' Home AddressIf different from your own. Evaluation for the JourneyJourney to the Heart is about relationship - your relationship with Christ. One of the main aspects of a healthy and growing relationship is communication. A key ingredient of communication is asking questions! So, the purpose of the following questions is to help you evaluate where your relationship with God is at. Remember, these questions are primarily for you, so do your best to give an objective and honest answer.Are you a Christian?*YesNoUnsureTell us a little about how you became a Christian.*What does being a Christian mean to you?*Where would you say your relationship with God is at?*I talk with Him, but I don't really feel like He talks backWe're really close, we talk a lot, and He tells me things from His Word that are amazingWe're pretty good, some days are better than others, but we're getting closer to each otherWe're really not on talking terms, I kind of feel as if He isn't very happy with me right nowI would love to be close to Him, but honestly, I don't really even know where to startI don't care to talk to Him at allAre you excited about where you’re at in your Christian walk? Or not really? Explain…*Is there something specific you’d like to get out of the Journey? Write your own thoughts or check one of the boxes:* A closer walk with God Fellowship with like-minded people Direction for my life How do you feel about coming on this Journey?*Really excited!!A little nervousNot 100% thrilled Electronics Agreement*We want to help you get the most out of your time on Journey as possible. You spend a lot of time and money to come here, so we want to help you avoid those distractions that are so hard to ignore today, namely phones and other captivating electronics. During the week, your leader will be the “keeper-of-the-electronics.” Be ready to give your cell phone to your leader after you arrive, along with any MP3 players, laptops, iPods, etc. We will make it possible for you to call your parents and check in during the week. I have read and agree to this Terms Agreement*In the rare circumstance that it would be better for the person or for the team, we reserve the right to separate someone from their team, or to send them home at their own expense and without a refund. I have read and agree to this Picture Agreement*I grant to Journey to the Heart and/or IBLP, its representatives and employees the right to take photographs of me and my property in connection with the functions and activities of or related to a Journey. I authorize Journey to the Heart and/or IBLP, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Journey to the Heart and/or IBLP may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and agree to the above *I also grant to Journey to the Heart and/or IBLP, its assigns and transferees to copyright, use, and publish any photographs or videos that I give to them in print and/or electronically. I agree that Journey to the Heart and/or IBLP may use such photographs or video with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and agree to the above Comments, Special Needs, or RequestsThis includes allergies and diet sensitivities.Payment*Accepted payment methods are: Credit Card, Check, and Cash.Pay with credit card nowCheck or otherCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Please make your check out to "Journey to the Heart" and send it to: Journey to the Heart 1 Academy Blvd Big Sandy, TX 75755 If you prefer to call in your payment via credit card, our office number is (903) 636-9487.Total(Cancellations will be refunded with a $50 processing fee.) $0.00
