Registration | Eucharist Village 2019
July 31 - August 4 [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 ? (i.e. tents, sleeping bags, air mats)
Any Questions?
Your answer
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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