PRE-REGISTER ONLINE Payment must be received at CCU before your registration will be finalized. On-Campus Housing Registration $50 per attendee (A $15 non-refundable deposit must be paid per person at the time of registration). *After January 9th, the cost is $60 with a $15 dollar deposit Off-Campus Housing Registration $40 per attendee (no deposit) *After January 18th, the cost is $50 Current CCU Student Registration $20 (no deposit) Church Name Youth Minister/Group Leader Please provide the following information based on where the registration confirmation should be sent: *E-mail address *Daytime Phone (include area code) *Street Address 1 Street Address 2 *City *State Select A State Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Europe Armed Forces Pacific Armed Forces the Americas British Columbia California Canada Canal Zone Colorado Connecticut Delaware District of Columbia Fed States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Northern Mariana Islands Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Isl. Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon *Zip/Postal Code TOTAL number in your group: Male Students Male Sponsors Female Students Female Sponsors CCU Students Payment Information *Total Pre-registration Amount Payment Method: Visa Mastercard Discover Name as it Appears on Card: Name as on Card Credit Card Number Exp. Date (mmyy) If you would like to submit a note with your registration, please do so in the box below. *Indicates a REQUIRED FIELD If you have any problems using this form, or have additional questions, please email info@CCUniversity.edu. You may also call 800-949-4228 ext. 8141 between 8:00 am and 4:30 pm (EST) Monday through Friday, or call 513-244-8141 and leave a voicemail after 4:30 or on weekends. privacy policy refund policysecurity
Male Students
Male Sponsors
Female Students
Female Sponsors
CCU Students
If you would like to submit a note with your registration, please do so in the box below.
*Indicates a REQUIRED FIELD
If you have any problems using this form, or have additional questions, please email info@CCUniversity.edu. You may also call 800-949-4228 ext. 8141 between 8:00 am and 4:30 pm (EST) Monday through Friday, or call 513-244-8141 and leave a voicemail after 4:30 or on weekends.
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