CMA Registration 2024

Campus Mission Academy Registration

Sunday, August 11 - Friday, August 16, 2024 | Michindoh
Name*

First NameLast Name
Email*
example@example.com
UCO Chapter/Location*

Ann ArborGrand RapidsLansingHuntingtonKentuckyPittsburghMarylandOther
Are you a student or on staff?*

StudentStaff
Sex*

MaleFemale
Age*
What Church Denomination Do You Currently Attend?*
Phone Number*
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
If you have any food allergies or dietary restrictions that would be helpful for the staff to know about, please list them below.
If you have any medical conditions that would be helpful for the staff to know about, please list them below.
Any other relevant information we should know?
Your chapter will cover your cost.
How are you going to pay?*

Pay now in fullI am going to pay my first payment of three installments.I am going to fundraise my payment.
Your cost is $500 and is due by August 1, 2024.

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

Please click one of the PayPal options to complete payment and submit the form.

Enter coupon

Campus Mission Academy Registration