Cultivate Registration
April 7-9, 2017
Camp Spofford, Spofford, NH
Cost: $95 per person
(includes 3 meals on Saturday, and breakfast on Sunday)

If you have questions regarding the form please email ahaynes@bcne.net.

By signing in to your Google account, you will be able to edit your responses after registration to account for errors, late additions, or removals.
Email *
Campus or Church Name *
Group Leader Name *
Group Leader Phone Number *
Group Leader Email *
Number of Private Rooms *
Example: Married couples with or without children.
Number of Male Students/Staff *
This is the total number of males (students or staff) sharing rooms together. Please do not include staff staying in private rooms.
Number of Female Students/Staff *
This is the total number of females (students or staff) sharing rooms together. Please do not include staff staying in private rooms.
Number of students for the Leadership Track
Students who have shown leadership potential and a desire to impact their campus for Christ
Number of children (infant to 2)?
Number of children (3-5)?
Number of children (6-10)?
Any Other Needed Information (food allergies, etc)
A copy of your responses will be emailed to the address you provided.
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