Sign up here for the 2010 Winter Retreat:
Name:
Gender:
Street:
City:
State:
Zip:
Expected High School Graduation Year:
School Name:
Please enter the name of school you attend if it was not on the list above.
Month of Birth:
Day of Birth:
Year of Birth:
Parent or Guardian First & Last Name(s):
Primary Phone Number:
Cell or Alternate Student Phone Number:
Parent or Guardian Alternate Phone Number:
Do you own a Campus Way Bible?
Adult Shirt Size:
Financial assistance is available if needed. Let us know if you're interested:
Who referred you to this event? Or how did you find out about it?
Scholarship Information:
We are thankful to have an opportunity to help students who need help to come to our winter retreat. We value your child immensely. We desire to not leave any student behind due to finances. With that being said, Campus Way does not profit from its retreats or camps. In addition, with todays economic conditions, the Campus Way is short on resources. Donors have given resources to help students to come to camp. If your family is in need of help, in order for your student to come to the retreat, we welcome your application. Please keep in mind that first time students receive $25 off and there is an additional $25 discount for any student who register by December 23rd. In order to receive the $25 registration discount, a registration form and a $50 deposit must be submitted by December 23rd. Please fill out the following form and we will respond to you within 2 business days with your requested scholarship. Any scholarship amount is not given in lieu of deposit. Fifty dollar deposit still must be given.
Insert reason for scholarship request
Scholarships range from $25-on rare occasion $100. Most scholarships do not exceed $50. What amount would you like to request?
* Enter Your Email Address:
Campus Way 308 E. Oak Crest Dr. Wales, WI 53183 Phone: 262-510-2988 jay@campusway.org
