IMNYI Fall Retreat Group Registration
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Leader Name *
Church Name *
Number of Male Students *
Number of Female Students *
Number of Male Sponsors *
Number of Female Sponsors *
Total Number of Participants *
Should be the sum of all participants listed in the previous 4 questions.
Subtotal Cost for Your Group *
This Should be $110 x Your Total Number of Participants
Are you paying with credit/debit card or by check? *
If you would like to make debit/credit payments, we ask that you cover the cost of the transaction fee for your group. This fee is 2.15% + $0.30 of the total cost of your group.
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