CTBC's 2025 Mission 4:19 Registration Form
Sponsored by Cornerstone Trinity Baptist Church--415.566.5756

Dates: 
June 30- July 18th
** Monday-Friday(except for July 4th-Holiday)
** 9:30 am - 4:00 pm 

Cost:
$160: June 30th-July 3 (4 days)
$200: July 7th-11th
$200: for July 14th-18th
$560: All 3 weeks
Youth Camp dates: July 27- August 1 ($610 Early registration by 7/6 & $635 Regular Registration for Youth camp only ) 
$1145 for M4:19 & Youth Camp (if registered full-time for 3 weeks of M4:19) 

Forms of Payment:
Mail check to: Cornerstone Trinity Baptist Church, 480 Teresita Blvd. SF 94127.
By Paypal: www.cornerstonetrinity.org/m419  (A Paypal convenience fee will be charged.)

Registration Deadline: June 8, 2025 or when we reach capacity (max number: 20)
Sign in to Google to save your progress. Learn more
Email *
Register for:
#1 Child's First and Last Name *
Sex *
Age & Grade in Fall 2025 *
T-shirt size (Adult size will be unisex sizes) *
#2 Child's First & Last Name
Sex
Clear selection
Age & Grade in Fall 2025
T-shirt size (Adult sizes will be unisex sizes)
Clear selection
Home Address (including City & Zip Code) *
Home Phone *
Parent/Guardian 1: cell phone, work phone, and email *
Parent/Guardian 2: cell phone, work phone, and email
Does your child(ren) require any special accommodations (ie: IEP, Behavior Plan)?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms