Youth Activity Payment
Youth Name
First Name
Last Name
Youth Email
example@example.com
Parent Email
example@example.com
Youth Payment For:
ELCA Youth Gathering Payment
Other
Would you like to pay for another youth?
Yes
No
Youth Name
First Name
Last Name
Youth Email
example@example.com
Parent Email
example@example.com
Youth Payment For
Please Select
Middle School Mission Trip Payment
Middle School Mission Trip-FULL Remaining Payment
High School Mission Trip Payment
Middle School Snowtubing Ticket
High School Snowtubing Ticket
Youth Activity Online Payment
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next
( X )
Credit Card Fee
$
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Other Option (food for Youth Group, etc)
$
1.00
Quantity
1
2
3
4
5
6
7
8
9
10
Youth Gathering Payment
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Youth Gathering Remaining Payment
$
225.00
Quantity
1
2
3
4
5
6
7
8
9
10
Youth Gathering Additional Payment
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
HS Youth Retreat-3/15-3/17
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Youth Gathering Payment
Due March 9
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: