Young Mens’ Journey, September 23rd – October 1st | Big Sandy, TX1 Personal Info2 Evaluation Questions3 AgreementsToday's Date Late Fee Price: $50.00 Early Bird Discount Price: -$50.00 Group 3-5 Discount Price: -$50.00 Group 6+ Discount (Regular) Price: -$150.00 Group 6+ Discount (ATI) Price: -$100.00 Additional Family Member Discount (Regular) Price: -$150.00 Additional Family Member Discount (ATI) Price: -$125.00 Start Your RegistrationRegistration Type*RegularATI Member (or former)Journey AlumniATI ID(If known)Additional Family Member Discount*A family member has already registered for a Journey this year.NoYesFull name of family member*GroupComing with a group?No3-5 in group6+ in groupGroup Name*Each one in your group must use the same group name.Total $0.00 Personal InfoEmail* 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* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Cell Phone*This is the number we will contact you at if you are picked up from the airport.Home PhoneUpload PicTrouble? Send to firstname.lastname@example.org.Parents' Full Names*Parents' Email* Parents' Home Phone*Parents' Home AddressIf different from your own. Save and Continue LaterEvaluation 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 lifeHow do you feel about coming on this Journey?*Really excited!!A little nervousNot 100% thrilled Save and Continue LaterElectronics 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 thisTerms 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 thisPicture 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 aboveComments, 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 otherPlease make your check out to "Journey to the Heart" and send it to:Journey to the Heart 707 W. Ogden Ave Hinsdale, IL 60521If you prefer to call in your payment via credit card, our office number is (630) 570-4141.Total $0.00 Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.