College Days Registration

2023 College Days Registration

Please fill out the form below.
Teen's Name*
First Name
*
Last Name
Gender*

MaleFemale
Grade*
T-Shirt Size
Email
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Church Name*
Pastor*
Transportation

I will be driving.I will be flying.
Arrival Day & Time
Departure Day & Time
Notes/Special Instructions
I agree to the terms & conditions described above. (If applicant is under 18 years of age, must be signed by legal guardian.)*

Please Sign Above Clear
The $25 registration fee covers meals served at the dining hall beginning with Monday supper and ending with Friday breakfast. The registration fee also covers all handouts and most activities.

$5 per night additional cost if lodging in the dorms.

Registration

Registration Fee $25 per teen

$25.00

Monday - Thursday Dorm Lodging$20 per teen

$20.00

Meal TicketsNeeded for any meals in the dining hall before Monday supper and after Friday breakfast

$5.00 Quantity
Item subtotal:$0.00

Enter coupon

Total

$0.00

2023 College Days Registration