subject_line
Group Registration
Deposit of $50 per person must be received by January 12th 2024 to receive Early Reg rate of $185.
Winterfest 2024 Pricing Structure:
Deposit of $50/Student by January 12th 2024 to recieve Early Bird Reg Price of $185
Deposit of $50/Student by February 9th 2024 On-Time Reg price of $195
Late Registration up to March 1st $205 (Depending Upon Available Space upon request only)
(Deposits are non-refundable but can be transferred to other students)
Church Name
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Church Senior Pastor
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Church Phone Number
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WF Group Leader Name
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WF Group Leader Cell Number
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WF Group Leader Email Address
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Church/group Address
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Total Number of attendees
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Number of Students:
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Number of Adult Leaders:
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Deposit Amount ($50 per person)
**Includes leaders**
Note for every 15 attendees you will receive 1 free.
Example: if you have 3 Adult Leaders, 15 Students, for a total of 18 attendees.
You will enter 18 total attendees, and will only pay deposits for 17 of them as the 16th person is free.
This only applies to Early Bird Registration, Deposits Recieved before January 12th 2024.
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Winterfest Group Leader/Student Pastor Signature
*
clear
Date:
*
Using a Credit Card?
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Discover
Credit Card Number
Expiration Date (mm/yy)
CCV
Using a check?
Mail to:
Church of God Rocky Mt. Region
c/o Robert Lombardi
3684 Union Court
Wheat Ridge, CO 80033