Girls Glamping Trip Youth - Girls Glamping Trip Registration form for the combined High School & Middle School girls only camping trip to Natural Bridge Aug. 23-24. Student Name* First Last Grade (2019/20)*Select Grade6th7th8th9th10th11th12th2019 Grad!Student Cell PhoneStudent Home Phone*Email*Parent/student email where messages are checked regularly. 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 Parent/Guardian Name* First Last Parent/Guardian Phone*Parent/Guardian Phone Type*Select Phone TypeCellWorkParent/Guardian Name First Last Parent/Guardian PhoneParent/Guardian Phone TypeSelect Phone TypeCellWorkParental AcknowledgementI have read, and agree to, the registration and trip requirements. I understand that if my student withdraws from the trip that any refund will deduct the amount already spent on my student's behalf. I understand there are risks associated with camping, hiking and other outdoor activities, and hereby give my permission for my student to participate.Parent/Guardian Signature*Date Signed* Date Format: MM slash DD slash YYYY Payment InformationPLEASE NOTE: Registration is not complete, and your space is not reserved, until the trip payment is received!Girls Only Glamping Trip Price: $20.00 Please bring your cash/check payment to the church office.Office hours: M-R 8:30am-4pm, F 8:30am-3pm. Or bring to Youth Center during Sun programming. To make different arrangements, call Youth Ministry at 307.265.4073 during office hours.Or bring it to the Youth Center during Sunday programming.To make different arrangements, call Youth Ministry at 307.265.4073 during office hours. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.