Plano Experience Middle School Registration 2022
(18 spots left)
Fill out the form below to register for Plano Experience 2022: Middle School.
Student Information
- Please fill out the following information for your student.
* First Name
* Last Name
* Birthday
* Student Grade - Middle School
Select one
6th
7th
8th
* Student Gender
Select one
Female
Male
* What church do you attend?
Select one
CityBridge
Onward
* Adult T-Shirt Size
Select one
Small
Medium
Large
Extra Large
XXL
* Please list your Small Group leaders. If you were invited by a friend, who invited you?
* Student Phone Number
Please list any allergies to medications or food:
Please list any medical conditions or medications taken:
Parent Information
* Parent Phone Number
* Email
READ:
Plano Experience 22 Release Form
- Please read the attached document. By typing my name in the field below I am legally bound by electronically signing the above document.
* Signature
READ:
Collin County Adventure Camps Waiver
- Please read the attached document. Please sign and return to CityBridge Students Team.
* Emergency Contact Name
* Emergency Contact Phone Number
* Alternate Emergency Contact Phone Number
Plano Experience Payment Plan
- By registering you are committing to paying the full registration cost ($375) - today or over time. Please note: All payment plans must be paid in full by June 30, 2022. We will follow up with you occasionally to help you meet your plan!
* Let us know your plan for paying for Plano Experience 2022
Select one
I am paying for all of it today!
I will pay the total amount before my student leaves for Plano Experience!
I would like to set up a payment plan to pay over time!
* If you will pay over time, please describe your plan below.
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