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Sophomore Journey Retreat Registration Payment Form
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4
Questions
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1
Attending Student Name
*
This field is required.
First Name
Last Name
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2
What is the date of the Retreat you are paying for?
*
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Dec. 2nd-3rd, 2023
Jan. 27th-28th, 2024
Feb. 3rd-4th, 2024
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3
Parent Email to send a copy of this registration to.
*
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example@example.com
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4
My Products
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My Bag
1
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Retreat Registration
Registration Fee
$
40.00
+
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Quantity
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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