Register for the Restore Conference

Mentors Only: Complete the mentor application here

March 1-2, 2019

Check in at 6:00 P.M. Friday Night.

Saturday 4:30 P.M. Conference ends.

Held at East Iowa Bible Camp 1433 F52 Trl, Deep River, IA 52222

ONLY HIT SUBMIT ONCE, AND CHECK FOR AN EMAIL BEFORE SUBMITTING ANOTHER TIME, EVEN IF YOU GET AN ERROR MESSAGE!

Register for the Restore Conference

Participant's Name*
First Last
Participant's email*
Parent / Guardian Name*
First Last
Address*
Street Address Address Line 2 City State ZIP
Cell phone #
What school grade are you in?*
What School do you go to?*
How did you find out about the conference?
Do you have a preferred mentor / group leader?
Any special instructions (i.e medication, food allergies, etc)*
Paying with:*
- Check
- Credit Card
Registration cost is $35.
Restore Registration
Registration cost is $35.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name