For: 7th and 8th Grade Students
Date: February 2-3, 2018
Location: Louisville, KY

Early-Bird Registration:   Date: November 12th   Price: $100
Regular Registration:   Date: December 17th   Price: $120

Attendees' Name *
First Name
Middle
Last Name
Student Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Student Grade *
Parent/Guardian Name*
Parent/Guardian Email*
Parent/Guardian Cell Phone Number*
It is ok to communicate through text messaging?*
By submitting this form you are registering your student and giving permission to First Christian Church to take your student to CIY Believe February 2-3, 2018. You also agree to submit your registration payment on or before the registration deadline.