Registration for Koinonia Family Gathering

Name*
First Last
Spouse
First
Any other family members joining you:*
Total adults on this registration*
NOT INCLUDING CHILDREN
Email*
Cell Phone*
Please provide this so we can be in touch with you via text message throughout the weekend.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Registration Options
Registration*
FAMILIES THAT WILL PAY CHILDCARE FOR THE WEEKEND MAY USE THE $30 RATE
- Single $30
- Household $50
Kids! Koinonia*
Important: ALL CHILDREN MUST BE REGISTERED. Door registrations for Kids Koinonia is not available due to supplies and volunteer planning. Prices are for the entire weekend; no refunds for cancellations.
- One Child $6
- 2+ Children $12
- No Children
Kids Information
Information of Children Being Registered:
Please list the names AND AGES of the children who will be participating in Kids! Koinonia. Ages 4-11 please.
Parents, Please
Please use this area to give us your contact information in case of emergency, as well as any allergies, medical conditions or other notes our kids staff may need:
Total Number of Children on this Registration:*
Travel Information
Lodging*
- I will be booking hotel accommodations
- I would like to stay with a host family
- I will not be needing accommodations
Payment
Coupon
Total
$0.00

Register for Koinonia Family Gathering