HS: CIY Move Registration
Depart: June 14th
Return: June 20

Location: Johnson City, TN

Cost: $350

$50 Deposit due March 1st

Students must have completed Freshmen year of High School to be eligible.

Payments may be made online through the church website or by calling/visiting the church office.

If your student has earned trip credit through Apple and Pork Parking and you wish to apply this credit to your trip, you MUST do so through Mandi in the office before submitting any other payment. We are unable to offer refunds.
Student Name *
Your answer
Student Birthdate *
Student will have finished _____ year by this date: *
Student Email *
Your answer
Student Phone *
Your answer
Parent/Guardian Name *
Your answer
Parent Email *
Your answer
Parent/Guardian Phone *
Your answer
Any special diet/health restrictions for student? If yes, please explain. *
Your answer
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