Registration

TOTALLY HIS ONLINE REGISTRATION FORM

Please fill in the form below. Download the parental permission form and return that along with a $25 non-refundable registration fee. The fee is payable by check to "EI Conferences" or by credit card. To pay by credit card or if you have any trouble with the application process, please call us at (864) 678-4900. Thank you.

Click Here to Download Parental Permission Form

Name: *

Email: *

Address: *

City: *

State: *

Zipcode: *

Phone number: *

Parent's number

Date of Birth: *

Age: *

Gender: *

List any allergies:

List any medications:

Special conditions:

Anything that would prevent you from participating in physical activities

Athletic abitility: *

Rate yourself honestly in comparison with your peers

T-shirt size: *

Testimony:

If applying for first time, give brief testimony of conversion and current walk with the Lord

Would you like to be considered for a scholarship?:

Yes

No

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