WICHITA QUAKE

Group Information

Registrar Name

Registrar Email

Registrar Cell Phone Number

Group Leader's Name

Group Leader Cell Phone Number

Group Leader Email

Church Name

Church Address

Church Phone Number

What Denomination is Your Church?

How Did You Hear About Quake?

Middle Schoolers (Early Bird)

($99.00/ea.)

Middle Schoolers (Standard)

($129.00/ea.)

Middle Schoolers (Late)

($159.00/ea.)

High Schoolers (Early Bird)

($99.00/ea.)

High Schoolers (Standard)

($129.00/ea.)

High Schoolers (Late)

($159.00/ea.)

Adult Leaders (Early Bird)

($99.00/ea.)

Adult Leaders (Standard)

($129.00/ea.)

Adult Leaders (Late)

($159.00/ea.)

Hotel Rooms

($295.00/ea.) [26 remaining]

Any special room needs?

Email [email protected] for hotel room inquiries or to add more registrants. Rooms are not guaranteed after the Standard deadline.

PLEASE NOTE: There are no adjoining rooms at this hotel.

Order Total

$0.00

What fund would you like your donation to go towards?

Coupon Code