Summer 2025 Template

WHERE: Carolina Point

WHEN: June 29, 2025 - July 05, 2025

Departure: June 29, 2025 from Ponte Vedra Presbyterian Church

Return: July 5, 2025 to Ponte Vedra Presbyterian Church

COST: $800, a deposit of $200 (towards the total cost) is required to hold your spot.

The balance is due in full and nonrefundable after May 15th. Please note that the balance due date in your confirmation is set to accommodate late registrants ONLY.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Valerie Cooper

813.777.3090

valeriencooper@gmail.com

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($800.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($800.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant Email

Opt-in to receive email and text message communications.

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information