Calvary Students - BLIZZARD REGISTRATION 2023

January 13-16 | Please fill out this form and click submit.

Name

*

Age

*

School

*

Address

*

Phone

*

You need to have a medical form submitted to go on this trip.

Medical form submitted?

*

Please select one option.

Yes I will complete this before the trip.

Shirt Size

*

Please select one option.

Small Medium Large X-Large 2XL

List any food allergies or say

*

Pay the deposit on, or before, December 18 to lock in the $175 price.

The price increases after December 18 to $200, and that payment is due by January 8.

If cost is an issue, please indicate that by choosing the scholarship option below.

Payment

Full amount ($200.00) Deposit ($75.00) I am interested in a scholarship ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

January 13-16

Please fill out this form and click submit.

Please Fix the Following

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