Register for the Restore Conference REgister Now! March 6-7, 2020 Held at East Iowa Bible Camp 1433 F52 Trl, Deep River, IA 52222 Early Bird Registration Fee of $35 is available until February 15th. After that the price will go up to $45. We are requiring girls to be in 6th grade, and to have turned 12 years old by September 15th of 2019. Student's Name* First Last Student's Birthdate* Date Format: MM slash DD slash YYYY Student's email* Parent / Guardian Name* First Last Parent / Guardian email (if different) City*Best Contact Phone Number (Student or Parent/Guardian)*What school grade are you in?*Home church*Any allergies we should know about?*Is this your first year attending Restore?*YesNoYou can request 1 friendPaying with:*CheckCredit CardRegistration cost is $35.Restore RegistrationRegistration cost is $35.Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.