IMPACT 2017 Group Registration

Group leaders: Use this form to begin your registration for IMPACT 2017.

Please note that your registration will not be complete until our office receives your DEPOSIT.

Due to the housing limitations, at this time, (see IMPACT main page) please plan on no more than two adults per group. As we get closer to IMPACT dates, we may be able to allow additional adults.
*Required fields

Be sure to check your email regularly. I will use it to communicate with group leaders regarding deadlines and update information.

You may reserve spots by submitting this application AND either paying online or by mailing a deposit to the address listed at the bottom of the form.

NOTE:Everyone who will be on campus and/or attending IMPACT, including campers, youth ministers, chaperones, spouses, and children age 7 and up, will need to reserve a spot for IMPACT. There is no charge for children 6 and under.

Number of spots to reserve for:

Payment Options

Total Number of Spots X $25.00 = _________ (Deposit amount to be paid)

Note: Do not fill out the Credit Card information if you are paying by check

Payment by Check

Mail deposit checks to: IMPACT, Lipscomb University, One University Park Drive Nashville, TN 37204

Payment by Credit Card

Note: Entering in an amount in this box will bring up another form to enter in your credit card information when you click Submit Form at the bottom of this page.