Youth Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Roommate #1 Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Roommate #2 Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Roommate #3 Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Methods of Payments for WinterFest:
1. The Church's
Bookstore
2. The Events CashApp (
$EventsatNHCOG
)
Submit
Should be Empty: