UHBC College Ministry Retreat
Please fill in the following information. You must compete this form and turn in your payment and/or scholarship request that can also be found on the church website.
Please enter a valid phone number.
Classification by year:
Super Duper Senior
Do you have any food allergies or special food circumstances?
If yes, please specify your food allergies here. If you haven none please type N/A.
How do you plan to pay the $60 registration fee? (At least $25 must be paid up front to reserve your spot.) *Please ignore if you plan on applying for a full scholarship.*
I plan to pay via the church website.
I plan to pay with cash to be turned in at the UHBC Connections Center.
I plan to pay with a check to be turned in at the UHBC Connections Center.
I plan to request a partial scholarship via the scholarship request form.
I plan to request a full scholarship via the scholarship request form.
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform