Massanetta Registration Form

Massanetta Middle School Conference Registration for Current 6th-8th Graders July 7-10, 2022
Youth Participant *

First Name Last Name
Youth E-mail *
example@example.com
Youth Phone Number *
Youth Participant Two (optional)

First Name Last Name
Youth Two E-mail
example@example.com
Youth Two Phone Number
Caregiver *

First Name Last Name
Caregiver E-mail *
example@example.com
Caregiver Phone Number *
First time to attend this conference? *

Yes No
What's your T-Shirt size? *

Registration Fees: If you plan to pay by check, don't click either box, and simply click Submit Form below.

Individual Massanetta Registration Fee This covers all costs for this conference, including housing, meals, and t-shirt. You can either pay online with the form below, or submit a check at the church. Registration fees are fully refundable until May 8th, and then 50% refundable until July 27th.

$ 175.00

Family Massanetta Registration Fee Please use this to pay if you are registering more than one child in your family for Massanetta.

$ 300.00

Pay Online with Credit Card

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Massanetta Middle School Conference Registration for Current 6th-8th Graders July 7-10, 2022

Pay Online with Credit Card