CCM Event Registration
Peace in our Lord Jesus Christ!
If you would like to attend one of our events, we have a three step registration process.
1) You can begin the registration process by filling out this form. Please be complete and accurate.
2) After completing the form, you will receive a waiver form via email, It may take up to 20 minutes for the email to arrive. Please sign online all the forms.
3) Once the waivers are completed someone from our team will contact you in order to make the payment. We will contact you as quickly as we can in order to set up the method of payment.

The registration is not official until you have completed the payments.

Union in prayer,

The Campus Ministry Team

Email address *
Events *
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Gender *
Date of Birth *
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/
DD
/
YYYY
Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Country *
Your answer
Mobile Phone *
Your answer
Home Phone
Your answer
Father's Full Name *
Your answer
Father's Email
Your answer
Father's Phone Number *
Your answer
Mother's Full Name *
Your answer
Mother's Email
Your answer
Mother's Phone Number *
Your answer
Is your parent's address the same as the address above? *
Contact In Case of Emergency *
Have you lived any retreat? If so, check all that apply. *
Required
School *
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