Register for Delta Youth Mission Summit 2026 | ApRM Centre

Secure Your Spot

Please provide your details below.

Personal Information

Surname *

First Name *

Other Name

Sex *

MaleFemale

Date of Birth *

Email Address *

Phone Number *

WhatsApp Number

Contact & Affiliations

School / Profession *

Church Affiliation *

Organization / Ministry

Position / Role

Residential Address

City *

State *

Country *

Event Participation

Have you attended any APRM event before? *

YesNo

How did you hear about this event? *

Breakout Session

Choose Your Preferred Breakout Group *

If your preferred breakout group becomes full, are you willing to be assigned to another available group? *

Yes, assign me to another group.No, I prefer my selected group only.

Spiritual Information

Are You Born Again? *

YesNo

Are you currently serving in any ministry? *

YesNo

Ministry Name (If serving)

Ministry Area (If serving)

Emergency Contact (Recommended)

Emergency Contact Name

Relationship

Emergency Contact Phone Number

Accessibility & Special Needs

Media Consent

During the summit, photographs and videos may be taken for documentation and publicity. Do you consent? *

YesNo

Consent & Declaration

Your personal information will be used solely for registration, communication, logistics, and administration of the Delta Youth Mission Summit 2026. Your data will be processed in accordance with the Nigeria Data Protection Act (NDPA) 2023 and will not be shared with unauthorized third parties.

I confirm that the information provided is true and accurate. *

I have read and agree to the Privacy Notice. *

I consent to the collection and processing of my personal information for the purpose of organizing and administering this event. *

I understand that photographs and videos taken during the event may be used for future publications and promotional materials (subject to my media consent selection above). *