Registration Form

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Summer Beach Trip 2013

Date: July 21-26


Location: Laguna Beach, FL
(Near Panama City Beach)

Speakers: Will Witherington, Jonathan Hansen & Zach Monroe


Base Price: $230
- This includes most meals, transportation, materials, and lodging at the Retreat Center.
- Students will need to bring additional spending money to cover 7 meals during travel and
$20 for two additional. $80 Dollars of Additional spending should be sufficient.
- If you register by May 1st the cost is $230
- If you register by June 1st the cost is $245
- If you register after June 1st the cost is $255

Deposit: $75 due when you register


Registration and Deposit Deadline: June 26, 2013

Registration Form
(Return to Jonathan or Becky)
Name ______________________________________________Grade you will be going into __________
Address ____________________________________________ City ______________ Zip ___________
Students Phone # ________________________________________ T shirt size: S
M
L
XL
Parents Name(s) _________________________________________ Parents Cell # ________________
If you are a guest, please give the name of the person you are attending the Beach Trip with
___________________________________________________________________________________
Roommate Requests (no guarantees) _____________________________________________________
Paid $75 Deposit with
Check _____ Check # _____ Cash _____ Amount _____

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