Midwest Crossroads SPEC 2025

I am registering as a:*

camperstaff

Camper/Staff Name*

First NameLast Name

Camper/Staff Preferred Name

Camper/Staff Date of Birth*

Date

Grade Completed*

T-shirt size (Unisex)*

Gender Identity for housing assignment*

Which Mission Center are you part of?*

Please list any allergies or food restrictions, if any.*

Camper/Staff Phone Number (will be used for delegation communication using the GroupMe app during SPEC)*

Please enter a valid phone number.

Camper/Staff Email

example@example.com

Camper/Staff Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

#1 Parent/Legal Guardian Name (Emergency Contact for Staff)*

First NameLast Name

#1 Parent/Legal Guardian Phone Number*

Please enter a valid phone number.

#1 Parent/Legal Guardian Email*

example@example.com

#2 Parent/Legal Guardian Name

First NameLast Name

#2 Parent/Legal Guardian Phone Number

Please enter a valid phone number.

#2 Parent/Legal Guardian Email

example@example.com

Please CAREFULLY read each of the following Release and Consent Statements in the PDF below. You will be asked to agree to each of these items below, and on the SPEC registration form. Pay careful attention to the camper expectations and discipline plan.

I have read the camp policies and expectations and agree to follow all policies and expectations.*

I agreeI do not agree

Please choose from the options below to indicate if you wish to pay by debit/credit card, or by check. Checks can be mailed in advance, or brought with you to camp.

SPECTACULAR Fees

$550 per camper (includes $425 SPEC fees + $125 delegation fees)

$400 per staff member (includes $275 SPEC fees + $125 delegation fees)

CREDIT/DEBIT CARD

If you choose to pay by debit/credit card you will be directed to PayPal after clicking the submit button. Here you can proceed with your payment.

You do not have to, nor do you need to, create a PayPal account to continue.

If you close the PayPal screen without making a payment, your registration will not process. If you do not receive a confirmation email after submitting this form, your registration was not processed and you are not registered. If you have difficulty with PayPal, please email communications@cofchrist-gateway.org to make other arrangements.

PAY BY CHECK

If you choose to pay by check, your registration will be complete when you click the "submit" button. You may either bring a check with you to SPEC, or you may mail it in advance.

Please make checks payable to: Gateway Mission Center

Mailing address for checks:

Viola Morsbach, Bookkeeper

34193 State Highway YY

Macon, MO 63552

CAMPERSHIP

If you are receiving a full or partial campership from your congregation or another source, please check the appropriate boxes and complete payment for the balance, if any.

Who is providing your campership, if any? (If you are receiving a campership from multiple sources, choose one from this list and provide more details in the text box below.)

What percentage of campership will you receive?

Please provide any additional information that will help us match your campership with your registration.

Do you need an additional campership from the Gateway Mission Center?

Yes, PleaseNo, Thank You

Number of SPEC campers in your household who are requesting a Mission Center Campership

Have you been to SPEC before and, if so, what was your experience?

What events do you most look forward to participating in at SPEC?

What do you hope to take away from SPEC? What are your spiritual expectations?

What percent of the cost of SPEC will be provided by your home congregation?

What percent of the cost of SPEC are you able to pay?

What percent of the cost of SPEC are you requesting from the GMC campership?

Use this space to express any other comments you would like to share.

Do you need additional financial assistance? Check this box and someone will contact you. If you are unable to submit payment today, choose "pay by check." This will allow you to complete your registration today without payment while financial assistance is being arranged.

Yes, I need financial assistanceNo, thank you

How will you complete payment?

My Products*

SPECTACULAR CamperMidwest Crossroads SPEC full payment camper

$550.00

SPECTACULAR CamperMidwest Crossroads SPEC half payment camper

$275.00

SPECTACULAR StaffMidwest Crossroads SPEC full payment staff

$400.00

SPECTACULAR StaffMidwest Crossroads SPEC half payment staff

$200.00

Total

$0.00

Email Address for Registration Confirmation*

example@example.com

Midwest Crossroads SPEC 2025

Questions?

The Basics

Camper/Staff Information

Camp Policies and Expectations

Camp Fees and Payment Information

Payment

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