Student Travel Registration Form

Student Travel Registration Form

Enter your details to register for travel to South Carolina State University in Orangeburg, SC. The bus will depart from First Nazareth Baptist Church at 7:30am and will return at 7:00pm. Lunch will cost $20 per person.
Child's Full Name

First NameLast Name
Age
Parents' Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Additional Notes or Special Requirements (Allergies or dietary restrictions)
My Products
prevnext( X )
Lunch
$20.00 Quantity

Product Name
Free Quantity

Total

$0.00
Payments made via credit or debit cards are secured through PayPal. Your information will not be stored by PayPal nor The Greater Waverly Foundation.
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: