VIRTUAL CAMP UPDATE REGISTRATION | Youth For the Nations

ARE YOU NEEDING TO PAY ON AN EXISTING REGISTRATION?*

YES
NO

ARE YOU REGISTERED AS A GROUP OR INDIVIDUAL?*

GROUP
INDIVIDUAL

PLEASE SELECT A PACKAGE:*

STANDARD ($50)
PREMIUM ($75)
ULTIMATE ($100)

*NOTE: If you are wanting to choose more than one package for your group, please submit a new form for each package selection (i.e. 3 Standard, 7 Premium)

REGISTRANT NAME*

First Last

YOUTH PASTOR NAME*

First Last

CHURCH NAME*

EMAIL USED TO REGISTER*

PHONE NUMBER USED TO REGISTER*

WHAT PACKAGE DID YOU PREVIOUSLY RESERVE?*

STANDARD
PREMIUM
ULTIMATE

TOTAL OWED AFTER INITIAL $30 DEPOSIT:

Please enter in the amount owed for your whole group. (i.e. Premium package: $75 - $30 deposit = $45 owed)

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

VIRTUAL SUMMER REGISTRATION UPDATE FORM