Xtreme Winter 2017 Registration
Register your student for this year's Xtreme Winter. Registration fee is required by all attendees and then cost of trip is $200. If you need scholarship assistance, let us know below
Student Cell Number (if applicable)
Student Date of Birth
Student Grade and School
Parent(s) Contact Number
Emergency Contact Name/Number
Approved Medicines (if necessary):
Please Call Me First
Medicines Brought on Trip
There will be some limited scholarships available to those who are in need. Please let us know if you will be seeking assistance with a full or a partial scholarship
I am seeking a FULL scholarship
I am seeking a PARTIAL scholarship
I will NOT be needing a scholarship
Social Media / Photo / Video Authorization
By checking the box below, you agree for Ridge Church to use the image of your child in social media posts and videos from the trip on our social media pages and church owned publications
I do not agree
$25 Registration Fee
To pay your student's $25 registration fee, please go to
and select Xtreme Winter 2017 in the drop down to pay safely and securely
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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