Teen Chill | February 26-28

February 26-28 | Please fill out this form and click submit. Students will not be fully registered before visiting www.deltalake.org/teen-chill. We look forward to an amazing weekend at Teen Chill!

PLEASE NOTE: This registration form is for Auburn Alliance Church use ONLY!

We are asking that all students and chaperones sign up for Teen Chill on Delta Lake's website. ALL PAYMENTS SHOULD BE MADE DIRECTLY TO DELTA LAKE. A Link to Delta Lake's Teen Chill registration will be available at the end of this form.

Select one:

*

Please select one option.

Student ($125) Chaperone ($95)

Student Information

Student's Name

Address

Grade

Please select one option.

6 7 8 9 10 11 12

Parent/Guardian Information (or chaperone)

Parent/Guardian's Name

*

Parent/Guardian's Email

*

This address will receive a confirmation email

Parent/Guardian's Phone

*

I acknowledge that I am required to register my child for Teen Chill on Delta Lake's website.

*

Please select all that apply.

Yes

I acknowledge that payment for Teen Chill should be made directly to Delta Lake and no payment will be accepted by Auburn Alliance Church or it's volunteers.

*

Please select all that apply.

Yes

Leave a question.

Description

February 26-28

Please fill out this form and click submit. Students will not be fully registered before visiting www.deltalake.org/teen-chill. We look forward to an amazing weekend at Teen Chill!

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