Harvest Now Camp Group Registration Please use the form below to register your group for Harvest Now Camp 2019 June 23-28, 2019 Hornbeck High School Campus Harvest Now Camp is for all students who have completed the 7th grade through 12th grade. Please ensure your students meet this criteria before registering. If you have any questions or problems filling out the form, please email us at info@truevisionministries.com. Step 1 of 7 14% Total number in your group, including students and youth leaders*23456789101112131415161718192021222324252627282930Tell us about youYour Name* First Last Your Phone*Your Email* Your Position*Youth Leader/PastorChurch PastorChurch SecretaryGroup Chaperone Tell us about your churchChurch*Church Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Pastor's Name* First Last Pastor's Phone*Pastor's Email* Tell us about your youth leader(s)How many youth leaders/adults are coming?*0123Youth Leader's Name* First Last Phone*Email* Youth Leader #2Youth Leader's Name* First Last Phone*Email* Youth Leader #3Youth Leader's Name* First Last Phone*Email* Special NeedsAny special needs within your group?*YesNoPlease explain any special needs.* Please list all the students in your group.NOTE: For Grade field, please enter the grade most recently completed.Total Number of Students in Your Group123456789101112131415161718192021222324252627282930Student 1* First Last Age*Grade*M/F*MaleFemaleStudent 2* First Last Age*Grade*M/F*MaleFemaleStudent 3* First Last Age*Grade*M/F*MaleFemaleStudent 4* First Last Age*Grade*M/F*MaleFemaleStudent 5* First Last Age*Grade*M/F*MaleFemaleStudent 6* First Last Age*Grade*M/F*MaleFemaleStudent 7* First Last Age*Grade*M/F*MaleFemaleStudent 8* First Last Age*Grade*M/F*MaleFemaleStudent 9* First Last Age*Grade*M/F*MaleFemaleStudent 10* First Last Age*Grade*M/F*MaleFemaleStudent 11* First Last Age*Grade*M/F*MaleFemaleStudent 12* First Last Age*Grade*M/F*MaleFemaleStudent 13* First Last Age*Grade*M/F*MaleFemaleStudent 14* First Last Age*Grade*M/F*MaleFemaleStudent 15* First Last Age*Grade*M/F*MaleFemaleStudent 16* First Last Age*Grade*M/F*MaleFemaleStudent 17* First Last Age*Grade*M/F*MaleFemaleStudent 18* First Last Age*Grade*M/F*MaleFemaleStudent 19* First Last Age*Grade*M/F*MaleFemaleStudent 20* First Last Age*Grade*M/F*MaleFemaleStudent 21* First Last Age*Grade*M/F*MaleFemaleStudent 22* First Last Age*Grade*M/F*MaleFemaleStudent 23* First Last Age*Grade*M/F*MaleFemaleStudent 24* First Last Age*Grade*M/F*MaleFemaleStudent 25* First Last Age*Grade*M/F*MaleFemaleStudent 26* First Last Age*Grade*M/F*MaleFemaleStudent 27* First Last Age*Grade*M/F*MaleFemaleStudent 28* First Last Age*Grade*M/F*MaleFemaleStudent 29* First Last Age*Grade*M/F*MaleFemaleStudent 30* First Last Age*Grade*M/F*MaleFemale Would you like to pre-order T-shirts?Would you like to pre-order T-Shirts?*Pre-order your 2019 Harvest Now Camp Shirts HERE! Just fill in the number you would like to order for each size once you select Yes.YesNoSmallMediumLargeXL2XL3XL4XL5XLTotal for T-ShirtsPlease bring this amount as check or cash to registration on June 23rd Would you like to make a donation?DonationAttending Harvest Now Camp is FREE, but if you'd like to make a donation to offset expenses, please feel free.I would like to make a donation now by PaypalI may make a donation later.Donation towards HNC Expenses Billing Name* First Last Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code When you submit the form you will be directed to PayPal where you may make a donation if you wish to, using a PayPal account or with a Debit or Credit Card.
