Summer 2025 Template

WHERE: Beyond Malibu

WHEN: July 7, 2025 - July 16, 2025

Departure: July 7th TBA

Return: July 16th TBA

COST: $ 1000, a deposit of $100 is required to hold your spot.

Deposit is nonrefundable.

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

Questions and Information

Contact Connect Student Ministries:

Joey Yeisley, Director of Student Ministries

(918) 605-5402

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($1,000.00)
Please select to make a deposit or full payment below. This will be paid by credit card.

Summer 2025

Beyond Malibu

Participant Name

Date of Birth

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T-shirt Size

School

High School Graduation Year

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Parent/Guardian Name

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Parent/Guardian Email

Address is same as participant

Address

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Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information