Registration | Eucharist Village 2018
July 18-July 22, 2018 [Wednesday evening - Sunday noon]
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 *
Your answer
Email Address
Your answer
Phone Number
Your answer
Emergency Contact Info (someone not going on the trip). Please provide phone number and email.
Your answer
Will you need a ride? *
If you are driving, do you have room for other people or items we need to transport?
When will you arrive? (choose one) *
Please list any special dietary restrictions, allergies, or concerns
Your answer
Do you have what you need for camping in cabins? (i.e. bedding, sleeping bags)
Any Questions?
Your answer
Please calculate your own registration cost and indicate how you are paying.

- Adults (age 18 and up) =
- $199 Early Bird Rate (through May 13th)
- $245 Regular Adult Price (through July 1st)
- Kids 12-18 / Full Time Student =
- $125 Early Bird Rate (through May 13)
- 175 Regular Student Price (through July 1st)
- Children age 4-12 =
- $50 Early Bird Rate (through May 13)
- $65 Regular Student Price (through July 1st)
- 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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