Fall Fling 2023
Please fill out this form and click submit.
Hello Hope Covenant Families! We are excited to announce our fall trip to Camp Shamineau's Fall Fling 2023!
When
: November 3-5
Cost
: $125
After you have completed this form, Hunter will send you (either digitally or physically) a release form that is required before leaving for Shamineau.
Parent Information
Parent Name
*
Parent Email
*
This address will receive a confirmation email
Address
*
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Student Information
Student Name(s)
*
Student Phone(s)
Payment
One Student ($125)
Two Students ($250)
Three Students ($375)
One Student ($125)
Two Students ($250)
Three Students ($375)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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