Oak Hills Christian College

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Women's Breakaway Registration Form

Contact Information
Name    
Street Address  
City  
State/Province  
Zip/Postal Code  
Home Phone  
Cell Phone  
E-mail  
Birthday
(month & day only)		  
Registration Information
Arrival Day  
Day-Timers (check days you plan to attend)   Wed   Thurs   Fri   Sat  
Day-Timers (check meals you plan to eat)   Th supper Fri lunch

Fri Supper Sat lunch
Lunch cost is $7; supper cost is $8.
Lodging Preference(bedding and towels provided)    
Private or Roommate  
Roommate Preference  
Top Bunk Okay?   Yes    No
    On-Campus Cost (meals, lodging, and conference fees)
The cost is $95 if registered by May 31, $105 after May 31.  Please send $25 deposit or full payment with registration.
Day-Timer Cost (conference fees only)
The cost is $10 if registered by May 31, $15 after May 31.  Please send payment with registration.
 

After submitting this form you will be directed to a page with a PAYPAL button.  You can make your payment with PAYPAL or you may call and use your credit card if you wish.  Or send a check.
 

Checks (payable to Oak Hills Christian College) can be mailed to:
Oak Hills Christian College
Women's Breakaway
1600 Oak Hills Road SW
Bemidji, MN 56601

 

  
If you have additional questions, comments or requests please enter them below, or call Pat Allen, Facilities Assistant, at
1-888-751-8670 ext. 1244, email: faciltz@oakhills.edu.
    Your registration provides Oak Hills Fellowship/Oak Hills Christian College the authorization to use photos and videos of you and your registered group for  promotional purposes.