Youth Church History Tour: June 5-14, 2024

* Required information

Personal Information

Type	Fee
Deposit	$300.00

* Name of Parent(s) / Guardian(s)
* Parent(s) / Guardian(s) Cell Number
* Parent(s) / Guardian(s) Email
*
Pricing is based on room occupancy. Each hotel room will have two queen sized beds. Each price includes the following: round trip airfare from Salt Lake City, deluxe chartered bus, all hotels, all meals, personal tour guides & historians, chaperons, material & handouts, and all entrance fees. Please tell us what hotel room occupancy you would like to purchase (you can request your roommates, or we can find roommates for you).
- Quad Occupancy - total price is $2,199
- Triple Occupancy - total price is $2,299
- Double Occupancy - total price is $2,499
* Please list the other youth you wish to share a room with (if applicable)
*
Please select the desired option
- I will pay the remaining balance by check
- I will pay the remaining balance by credit card/Venmo (a 3% bank fee is added to the final invoice)
*
If you are 18 years old or older, do you have a photo ID to use at the airport?
- Yes
- No
* What is your legal name? (This is the name we will use to book your airline tickets. The name listed at the top of this form should be your preferred name)

* T-Shirt Size
* Are there any medical/physical concerns we should be aware of, including medication or physical restrictions?
* Do you have any concerns which we should be aware of so we can help you have an enjoyable and spiritual experience?
*
Do you have any dietary needs which would require customized meals? An extra charge of $50 to cover the special ordered meals is necessary. We will do all we can to make sure you have the right food to eat!
- Yes
- No
**PLEASE READ: The $300 payment is required to secure your spot on this trip. This payment will be applied to your overall balance. The remaining balance for the trip is due 90 days prior to departure. A Welcome Packet and confirmation will be mailed to you soon after you complete this registration form. Please use the space below to provide additional information.