Group Registration - Summer 2021
This form is reserved for Youth Pastors & church groups. For families registering multiple children please use individual registration.
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Church Name
Number of Forms
Week Attending
Teen 1 (May 31-June 5) – Ron DeGarde
Junior 1 (June 7-11) – Micah Self
Teen 2 (June 21-26) – Tom Farrell
Teen 3/Jr. 2 (June 28-July 3) - Jim Schettler & Ed Dunlop
Teen 4 (July 12-17) – Caleb Garroway
Teen 5/Jr. 3 (July 19-24) – Mark Herbster & Adrian Burden
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Registration Fee
$
25.00
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Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
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