Summer 2025 Template

WHERE: Carolina Point-

Address: 19 Pinnacle Point Ln, Brevard, NC 28712

WHEN: July 13, 2025 - July 19, 2025

Departure: tbd / Late bus tbd

Return: tbd

COST: $ 779, a deposit of $ 100 is required to hold your spot.

Money is nonrefundable after July 1st

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Jack Mundy at:

Jack Mundy (336-266-3165) - [email protected]

Participant Information

Guest Type

Registration Options

Register and pay just deposit ($779.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register without a deposit ($779.00)
Register with a deposit or full payment ($100.00)

Participant Name

Date of Birth

Participant Phone

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Participant Address

Gender

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Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information