WB 2024 Conference Student Registration Form

Winter Blast Conference 2024 Registration (ONE FORM PER STUDENT)

This is the only way to sign-up for Winter Blast 2024. You must make a deposit in order to secure your spot at the conference. We need a form for each student even if you have more than one student participating. We keep separate information for each one.
Student's Full Name*

First NameLast Name
Student's Phone
Please enter a valid phone number.
Grade Currently Enrolled
Shirt size-
Shirts can sometimes run small. All sizes are Adult.
Parent/Guardian- Full Name*

First NameLast Name
Phone Number*
Student's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I promise that my student will participate in the Cake Auction on Dec. 4th, This is a fundraiser for our trip.*

YES
In order to complete this registration, you will need a copy of the student's Insurance card. We are trying to get as much information as we can up front. Thanks for your understanding!
Please Upload a Picture of Your Child's Medical Card

Medical Card
Cancelof
PAYMENTS

You must make at least the first deposit donation to the Winter Blast Conference to secure a spot at this year's conference. You can give more per the question above.

Donations are processed through PayPal. You may pay using an existing PayPal account, or any major credit card/debit card. You must choose the proper amount to donate in the choices below. ($55 is the minimum to complete this form and register for the Winter Blast Conference)

You can pay as a guest to PayPal.
My Products*
prevnext( X )
Initial Deposit$55
$55.00



1st & 2nd Payment$110
$110.00



Full Payment$165
$165.00



Processing FeeWould you be willing to offset our processing fee? This is totally optional. You can proceed without it.
$2.50



Total

$0.00
Signature

Clear
Should be Empty:

Winter Blast Conference 2024 Registration (ONE FORM PER STUDENT)