late housing registration 2024

Name

First

Last

Email

Confirm Email

Phone Number

Select Your Church

Choose One

Arrival Date (Please Select)

Departure Date (Please Select)

Single Room – Select Number of Nights

Price: $40.00

(Price per night in Dorm)

Double Room – Select Number of Nights

Price: $50.00

(Price per night, per person)

Name of Second Person Staying in Room

First

Last

My wife and/or family members are staying with me. We need access to men's and women's bathrooms.

RV Space with Electricity (Select Number of Nights- Price is per night))

Price: $20.00

Cafeteria Meal Ticket (Breakfast & Lunch, Monday-Wednesday – 6 meals total)

Total

$0.00

PayPal Commerce

Card Number

Expiration Date

Security Code

Card Holder Name