Registration | Eucharist Village 2019
July 31 - August 4 [Wednesday evening - Sunday noon]
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PEOPLE
Full name(s) of all individuals in your party. Indicate if any are children (and their age). Please also provide a t-shirt size for each person *
Email Address
Phone Number
Emergency Contact Info (someone not going on the trip). Please provide phone number and email.
Transportation
Will you need a ride? *
If you are driving, do you have room for other people or items we need to transport?
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When will you arrive? (choose one) *
OTHER STUFF
Please list any special dietary restrictions, allergies, or concerns
Do you have what you need for camping ? (i.e. tents, sleeping bags, air mats)
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Any Questions?
PAYMENT
Please calculate your own registration cost and indicate how you are paying.

- Adults (age 18 and up) =
    - $159 Early Bird Rate (through May 19th)
    - $199 Regular Adult Price (through July 7th)
- Kids 12-18 / Full Time Student =
    - $75 Early Bird Rate (through May 19th)
    - $90 Regular Student Price (through July 7th)
- Children age 4-12 =
    - $45 Early Bird Rate (through May 19th)
    - $55 Regular Student Price (through July 7th)
- Children 3 or under = free


If money is a barrier to your participation, we will find a way to make this work for you.
How are you paying? (Registration is not complete until we receive your payment) *
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