WHERE: Rockbridge

WHEN: December 11th - December 13th

Departure: Check-in at 7pm - bus leaves at 7:30! Park & Ride at Exit 140
Return: Around 2pm - Park & Ride at Exit 140

COST: $230; A deposit of $50 is required to hold your spot.

Questions and Information:

Contact Hannah at:
614-745-6873
[email protected]

Registration

Guest Type

Registration Options

Register with CREDIT CARD ($230.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with CASH/CHECK ($230.00)
The deposit remains $50 to hold your spot but will show $0 at checkout. We will only adjust your balance once money is in hand.

Information

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

School

High School Grade

Allergies/Dietary Restrictions

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Check-Out

Credit Card Process Fee

$0.00

Coupon Code

Total

$0.00

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Billing Information

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Name

Payment Method

Credit Card
Cash/Check

Credit CardSecure Payment

Address

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