Oregon Christian Convention

June 30-July 5, 2009

Online Registration

There are two parts to this registration process:
Part 1 - Provide your family information and determine your payment for registration and housing
Part 2 - Make a secure online payment to the Oregon Christian Convention

Part 1
Please provide the following family information:

Last Name
Address
Address2
City
State
Zip Code
Phone
E-mail
Church

First Names of Family Members	Age Group
	-- Adult College High School Middle School Elementary Preschool
	-- Adult College High School Middle School Elementary Preschool
	-- Adult College High School Middle School Elementary Preschool
	-- Adult College High School Middle School Elementary Preschool
	-- Adult College High School Middle School Elementary Preschool
	-- Adult College High School Middle School Elementary Preschool
	-- Adult College High School Middle School Elementary Preschool

REGISTRATION FEES

Family - Full Week; All Sessions  $60.00		$
Adult per individual - Full Week; All Sessions  $25.00	x=	$
Senior Citizen (62+) - All Sessions  $20.00	x=	$
Student/Child - Full Week; All Sessions - $20.00	x=	$
One Day/Donation  $5.00	x=	$
Total registration fees (Registration fees are non-refundable)		$

I/We plan to attend the Convention  Yes   No

HOUSING RESERVATIONS

	RV Site Size of RV	$18/night
	Tent Site	$15/night
	Centennial Lodge
	One person	$15/night
	Two or more/one room	$25/night
	Jubilee Dorms	$12/night
	Cabin	$18/night
	Please note there is a four (4) person maximum in cabins, RV and Tent sites.  $2.00 each for each additional person.

Arrival Date

Total Nights

Total Housing Fees     $ A minimum $20.00 housing deposit is required with this form

Total Fees         $

Comments:

Please print this page for your records before sumbitting it