Registration for North Jersey Young People's Gathering
June 10-12th, 2011

Back to YP Gathering >

* Required fields
Name *
E-mail Address *
Age *
Gender *
Ecclesia *
Baptised *
Roommate
Other Special Requests/Flight Information/Dietary Needs

I have read and agree to the Privacy Policy *

Spam prevention


Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:


If you would like to pre-pay the $35 registration fee, you can mail it to our registrar in addition to completing the above online registration.

 

Make checks payable to "Christadelphian Ecclesia Camp" & mail to:

 

Michelle Parker

100 Center Grove Rd.

Apt 12-1

Randolph, NJ 07869