Kairos Fellowship 2017
Use the form below to register your interest in one of our trips for the summer of 2017.

Any questions? Email Brian LaLonde at blalond@gmail.com
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About This Form
This form registers your interest in having your son participate on the Kairos Fellowship adventure trips; however, it is not the end of the registration process. In a few weeks, you will receive an e-mail with the following two items:

• Parental Consent, Certification, and Medical Authorization Form
• Payment Information

Thanks very much for your interest in our trips this summer!
Trip Details
Rocky Mountain Jamboree - Wyoming
*** Wyoming Trip is now full and so closed to any more sign-ups. ***
9th grade graduates (or older)
$700 (plus transportation costs to our starting point)
Friday, June 30 - Sunday, July 16 (two weeks)

Appalachian Rendezvous - Virginia
7th and 8th grade graduates
$400 (plus transportation costs to our starting point)
Saturday, July 29 - Saturday, August 5
** Sign-up minimum has now been met so this trip is "Go!" ***
Maximum: 16 boys (can sign-up until Sat, July 22).
Please choose a trip: *
Parent Information
Parent First Name *
Parent Last Name *
Parent Contact e-mail *
Parent Phone number *
State *
Community Name (if applicable)
Youth Information
Youth First Name *
Youth Last Name *
Youth Age (at time of trip this summer) *
Grade Currently Completing *
Youth Information (if more than one of your youth for this trip)
Youth2 First Name
Youth2 Last Name
Youth2 Age (at time of trip this summer)
Youth2 Grade Currently Completing
Any other comments, questions, or feedback:
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