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2024 Children's Ministry Conference
The Team
NC COGOP
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NC Summer Camp
Int’l Children's Ministries
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2019 Retreat Application
*
Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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Marital Status
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Married
Single
Name of Spouse/Roommate
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First
Last
Room Preference
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King
Double
1 BDR Suite (Additional $11)
Room Deposits Due By October 24th
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1st Night’s Room Deposit: $136.52 (includes taxes)
1 Bedroom Suite Room Deposit: $146.78 (includes taxes)
Retreat Fees Due By October 24th
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Registration Fee Per Adult: $45.00
Youth Retreat Fees Due By October 24th
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Registration Fee Per Youth: $15.00
Total Registration Fees (Includes T-Shirt)
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Adult Registration Fee after October 24th: $50.00 — Youth Registration Fee after October 24th: $20.00
Denim & Diamonds Banquet Adult: $40.00
Denim & Diamonds Banquet Children: $20.00
Adults
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1
2
3
4
Children (5 & Under, No Charge)
*
0
1
2
3
4
5
Total Banquet Fees
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Total Fees Due
Please Include total for: 1st Night’s Deposit, Registration, and Banquet Fees for all Registrants including Youth
*
Make Checks Payable to: COGOP
**Contact us if you would like to wirelessly transfer your Registration Fees.**
Adult T-Shirt Size
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Small
Medium
Large
XLarge
2X
3X
4X
Adult T-Shirt Size
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None
Small
Medium
Large
XLarge
2X
3X
4X
Youth T-Shirt Size
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None
Small
Medium
Large
XLarge
Youth T-Shirt Size
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None
Small
Medium
Large
XLarge
List T-Shirt Sizes for more than 2 Children Below:
*
Contact the SpringHill Suites at 757.417.3982, if you would like to pay your ROOM DEPOSIT ONLY by credit card. Inform the clerk that you are with the Church of God of Prophecy.
*If you are paying your room deposit by credit card: your registration, banquet, and Youth Retreat fees must be mailed or sent via electronic money transfer, e.g. Zelle, CashApp*
If you are mailing your application and fees, please forward to: Mrs. JoAnne Ricks, 5363 Grey Oaks Road, Trinity, NC 27370.
Email:
[email protected]
Phone: 336.431.5132
Submit
Home
2024 Children's Ministry Conference
The Team
NC COGOP
NC Youth
NC Summer Camp
Int’l Children's Ministries
Contact