Registration Information

Name

Phone Number

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Age

($0.00/ea.)

Gender

Male
Female

How Many Prayer Camps Have You Attended

Do you serve within BCF?

State

Full Name of School

Method of Travel to Venue

Will you be staying at the Hotel?

Note: The Hotel accommodates 4 people with 2 beds per room.

Will you need assistance in finding a roommate?

Do you have medical conditions that may affect you from participating in this fast?

I understand that I am fully responsible for my own accommodations and transportation to and from the prayer camp. This fee only grants me access to prayer camp and I agree to book my room directly with the hotel before the event.*

Registration Fee

$15.00

Total

$16.71

Includes $1.71 of processing & fees

Your current total for 1 registrant is $16.71

Registration Summary:	Total
Registrants (x1)	$15.00
Processing & Fees Fees include credit card processing fees and third-party software fees	$1.71
Total	$16.71

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

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