Force Registration Form

FORCE REGISTRATION FORM

Please fill out the registration form then make payment through paypal.
Your registration will not be accepted if payment does not go through.

Church name
Church location
Youth group coordinator FULL name
Postal Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Mobile
Email
Payment Name on Credit Card
Number of campers you’re registering
Please list camper’s FULL name, gender, age and any dietary requirements.
EG – John Smith M 16 Gluten free
Single Campers
Single Campers Cost (@ $160) $
Multiple Siblings Deal
Multiple Sibling Deal Cost (@ $152) $
Total Payment $