Restoration Students: Camp 220 '21
July 12-15 | CAMP 220!!
It's Time to Register Don't Miss Out!
Warning!
This form cannot be submitted until an administrator completes the setup process to receive online payments.
Student Information
Student's Name
*
Student's Email
This address will receive a confirmation email
Student's Phone
*
Grade Completed
*
Please select one option.
6th
7th
8th
9th
10th
11th
12th
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6th
7th
8th
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Shirt Size
*
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Gender
*
Please select all that apply.
Male
Female
Preferred Pairing request ( does not guarantee grouping )
Parent Information
Parent's Name
*
Parent's Phone
*
Parent's Email
*
This address will receive a confirmation email
Address
*
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Emergency Contact Information
Name of Emergency Contact
*
Phone of Emergency Contact
*
Email of Emergency Contact
*
Emergency Contact's Relationship to Student
*
Camp Forms
The links below will open the forms, so you can fill them out and attach below!
Medical Release
https://twotwenty.org/wp-content/uploads/2014/06/220-Medical-Release-Form1.pdf
Restoration Church Release
https://docs.google.com/document/d/1N80jErifRKC49b1FvyRwTkqFCxtYHMYtdTkdNRgAO-I/edit?usp=sharing
What To Bring Agreement
https://twotwenty.org/wp-content/uploads/2014/06/220-what-to-bring-agreement-2014.pdf
Attach Medication Release Form Here!
Upload (8MB)
Attach What to Bring Agreement Form Here!
Upload (8MB)
Attach Restoration Church Release Here!
Upload (8MB)
Payment
Non-Refundable Deposit $100 due by 06.13.2021
Full Registration Cost $375 per student / due by 07.12.2021.
Payment Options
Full Reigistration ($375)
Other
Full Reigistration ($375)
Other
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
July 12-15
CAMP 220!!
It's Time to Register Don't Miss Out!
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