Youth Convention 2024Senior Pastors Registration Senior Pastor Contact Sr. Pastor Name * First Name Last Name Sr. Pastor Email * Sr. Pastor Phone * (###) ### #### Spouse Info Spouse Name First Name Last Name Spouse Email Spouse Phone (###) ### #### Other Info Is this your first time at a FMD Youth event? * Yes No Your Church Name * Please include the full name Is your church affiliated with Florida Multicultural District of the Assemblies of God * Yes No Which FMD section are you part of? * Section 1 Section 2 Section 3 Section 4 Section 5 Section 6 Section 7 Section 8 Section 9 Section 10 Not part of FMD Thank you!