Registration | Eucharist Village 2019
July 31 - August 4 [Wednesday evening - Sunday noon]
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 *
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
Transportation
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) *
OTHER STUFF
Please list any special dietary restrictions, allergies, or concerns
Your answer
Do you have what you need for camping ? (i.e. tents, sleeping bags, air mats)
Any Questions?
Your answer
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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