Clone of Conference Registration Form with Payment

Koinonia 2023 Registration

Please fill out the information below to register for this years conference. ***Please read over the entire form before submitting.***
When: June 9th-11th, 2023

Where: Rhodes Grove Camp and Conference Center

7693 Browns Mill Rd.

ChambersBurg, PA 17202
Full Name*

First NameLast Name
Additional Guest 1

First NameLast Name
Additional Guest 2

First NameLast Name
Additional Guest 3

First NameLast Name
E-mail*
example@example.com
Phone Number
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please note: Add $30 to each prices for all CBBA Non-members.

CAMPING AVAILABLE! Have a camper or RV? There is now an option for on-site camping with water, sewer, and electric hookup. Just choose the "Off-Grounds" registration option, and place a comment in the comment section asking us to reserve you a space!

My Products

Lodge Double Occupancy (Participant)

Hotel style room with two queen beds and a private bathroom.

$240.00

Lodge Double Occupancy (Non-Participant)

Hotel style room with two queen beds and a private bathroom.

$200.00

Lodge Quad Occupancy (Participant)

Hotel style room with two queen OR one queen and two double beds and a private bathroom.

$215.00

Lodge Quad Occupancy (Non-Participant)

Hotel style room with two queen OR one queen and two double beds and a private bathroom.

$175.00

Off-Grounds Whole Weekend (Participant)

Covers meals and seminars Fri-Sunday without lodging.

$155.00

Off-Grounds Whole Weekend (Non-Participant)

Covers meals Fri-Sunday without lodging.

$115.00

Off-Grounds *Saturday Only (Participant)

Covers meals and ALL seminars on Saturday Only.

$115.00

Off-Grounds *Saturday Only (Non-Participant)

Covers ALL meals on Saturday Only without lodging or seminars.

$55.00

Deposit ONLY - Please indicate rooming selection

Save your place and pay your balance at the door. Please indicate your rooming selection in the Additional Information box at the bottom of this form.

$50.00

Total

$0.00

Credit Card

Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Additional Information
Should be Empty:

Koinonia 2023 Registration

Credit Card