Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
University
*
Please Select
UW - Eau Claire Chi Alpha
UW - Green Bay Chi Alpha
UW - La Crosse Chi Alpha
UW - Milwaukee Chi Alpha
UW - Oshkosh Chi Alpha
UW - River Falls Chi Alpha
UW - Stevens Point Chi Alpha
Michigan Tech U Chi Alpha
N. Michigan U The Way / Chi Alpha
Other
If Other, please tell us your church or school
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Registration is only available for those 18-24 year old.
Sex
*
Male
Female
Are you an International Student?
Yes
No
Country of Origin (We LOVE Internationals!)
Select any dietary restrictions / allergies?
None
Gluten-Free
Dairy-Free
Nut-Free
Other
Breakout Interest: Please select 2 topics you are most interested in attending. (This is not your final decision, just helps us estimate room size based on interest.)
What It Means to Make Jesus Lord
Water Baptism
Holy Spirit Baptism
Building Cross Cultural Friendships
Overcoming Addictions
Money Management
Conflict Management
The Ethical Use of AI
Marketplace Ministry / How to Make Disciples in Your Career
Which tournament options would you be interested in?
Volleyball
Soccer
Basketball
None of the above
My Products
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Registration
Includes 2 nights lodging, 5 meals, and all sessions and activities!
$140.00
$
140.00
Quantity
1
Item subtotal:
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
ACH Bank Transfer
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