Pierre District Youth Activity July 22-25

Hello! We are excited you have decided to participate with us in our Pierre District Youth Activity!!! A lot of time and planning have gone into this activity in hopes that you will have an enjoyable experience and make lasting friendships! Please start by clicking on the Continue button below.

* First Name

* Last Name

* Age:

* What is your date of birth:

Month	Day	Year

* Branch:

What are you looking forward to the most on this trip??
(Rearrange in order with what you are most excited about first)

	Drag your choices here to rank them
Camping Bus Ride Temple Zoo Meeting new People Being with Friends Visitor's Center Games and Activities

* T-Shirt Size:

Phone

Email

Mailing Address

Who will be driving you to Valentine, NE on July 22:

Who will be picking you up to return home on July 25: