Thank you for taking the time to fill out our Personal Committment Survey Form. Your information will remain confidential and will only be shared within the Youth Fest Planning Team. Please remember that your free t-shirt will be available for pick-up only on the day of the festival.

Authorization Code: (just as it appears in your letter)

Full Name:

Age:

Email Address:

T-Shirt Size:

S

M

L

XL

XXL

What decision did you make at last year's festival? :

I accepted Christ into my heart for the first time as my Lord and Savior I rededicated my life to follow Christ and asked Him to forgive me of my sins Other (please specify in testimony section below)

What has happened in your life since last year's festival? :

Joined a church

Was baptized

Entered into full time ministry

Became more involved in my church

Nothing

Please share with us any prayer requests or testimony that you may have: