Expedition Now Registration

Expedition Now Registration Form

To guarantee a t-shirt, registration deadline is October 15. Final registration is November 6.
I am registering:*

A youth groupAn individual
All retreaters under 18 must submit a Parental/Guardian Waiver in order to attend (linked in form submission confirmation page).

Leader Name*

First NameLast Name
Church Name*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How many people in your group total?
Register up to 20 retreaters per submission. To register a group of more than 20, please submit another form with the remaining retreaters.

Please list each of your retreaters and leaders, including the following information:
Retreater #1:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #2:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #3:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #4:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #5:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #6:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #7:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #8:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #9:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #10:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #11:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #12:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #13:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #14:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #15:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #16:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #17:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #18:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #19:
First name, last name
Male/Female:
Grade:
T-shirt Size:
Retreater #20:
First name, last name
Male/Female:
Grade:
T-shirt Size:

Allergies
If you wish to pay online, check the box beside "Expedition Now Registration" and select the total number of retreaters and leaders below. When you click "Proceed to payment" you will be taken to Paypal where you can complete the transaction with a Paypal account or credit card.

You also have the option to pay when you arrive, in that case make sure you uncheck the box "Impact Registration" below.

Payment

Expedition Now Registration$70.00CAD

Quantity

Total $0.00CAD

Expedition Now Registration Form