Register Online

Camp Registration-$225
Start Date: Jun 14, 2010 - Start Time: 1:00 PM

Description:

IDAHO YOUTH SUMMIT REGISTRATION
You are registering for the Idaho Youth Summit at Camp Lutherhaven in Coeur d'Alene, ID. The dates for this conference are June 14-17, 2010. This form does NOT include transporation. If you would like to reserve a spot on the bus for $40, please fill out the alternate form. *Registration Fees are non-refundable after May 14, 2010.

Cost $225.00

First Name:

Last Name:

Email:

Phone:

Address:

City:

State:

Zip:

Youth or Adult? (Youth is a 7-12 grade student in 2009-2010 school year)


Gender


School/Community Name

Your grade level in the 2010-2011 school year?






Have you previously attended an Idaho Youth Summit?


If you have previously attended an Idaho Youth Summit, what year(s)?

T-Shirt Size (Adult Sizes Only)






PO# (If you are using a Purchase Order)

*Registration Fees are non-refundable after May 14, 2010. Do you agree to and understand the cancellation policy?

Name of Group Coordinator or IDFY Advisor

Do you have a promo code?


(Only click the Submit Button Once)