Refresh Camp 2017 Online Registration
  1. Refresh Camp 2017 Registration
    July 17-21, 2017
    Cost: $230, $50 deposit
    If your student attended D-Now the cost is: $200 (Deposit covered by D-Now payment)

    Note: A $3 processing fee will be applied when using PayPal. Cash or Check can be turned into Chris Rainey, Youth Pastor.
  2. Student's Name(*)
    Please provide the student's name.
  3. Grade Completed(*)
    Please choose your student's grade level
  4. Gender(*)
    Please choose one
  5. T-Shirt Size(*)
    Please choose a t-shirt size.
  6. Parent / Guardian Name(*)
    Please provide your name.
  7. Parent / Guardian Phone(*)
    A phone number is required.
  8. Parent / Guardian Email(*)
    Please let us know your email address.
  9. Camp Fee(*)
    Please make a selection.
  10. Choose Payment
  11. Total
    0.00 USD