2026 CCCA Illinois Sectional Registration

Your Name (person filling out registrations)*

First NameLast Name
Camp or Ministry Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Sectional Details and Rates:
Tuesday registration 9:00 pm February 10 through
Wednesday departure 4:00 pm February 11

Lake Springfield Christian Assembly
1674 Lick Creek Ln
Chatham, IL 62629

Rates:
Dorm Lodging Members: $100 per person
Dorm Lodging Non-Members: $110 per person
Single Day Commute Member: $40
Single Day Commute Non-Member: $45
Both Days Commute Member: $80
Both Days Commute Non-Member: $90

ALL LODGING IS DORM STYLE.
You will be able to register multiple people on the following pages. Payment can be by mail or presented at the sectional or through PayPal using accounting@dicksonvalley.com.

EIGHTH attendee:
Name Registrant #8*

First NameLast Name
Email Registrant #8*
example@example.com
Housing Preferences #8*

Dorm Lodging Members: $100 per personDorm Lodging Non-Members: $110 per personSingle Day Commute Member: $40Single Day Commute Non-Member: $45Both Days Commute Member: $80Both Days Commute Non-Member: $90
Special Dietary Request:
Would you have any interest in joining a trip to the Abraham Lincoln Museum for leadership research? (extra $10)*

YesNo