Meltdown

Meltdown

April 11-13, 2025
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Phone
Please enter a valid phone number.
Students Email
example@example.com
Mom's Phone
Please enter a valid phone number.
Dad's Phone
Please enter a valid phone number.
Parent Email
example@example.com
Birthday*

MonthDayYear
Date
Grade*
Gender*

FemaleMale
Church/Youth Group you attend
List all current medications and dosage
Allergies
For an extra fee ($15), we can make accommodations for gluten free and dairy free diets. Will you be in need of one or both of these accommodations?

Gluten freeDairy freeNo, I will not need these accommodations
Crossroads Ministries First-Timer Scholarship (CFTS)

If this is your first time at Sky Lodge, you can receive $50 dollars off of your total retreat cost, if registered by March 14, 2025.

If you've been here before, you can still get a scholarship! Bring 1 friend that has never been here before, and you can receive a $25 dollar discount if both of you are registered by March 14, 2025.
Is this your first time at Sky Lodge?

YesNo
Would you like to receive the Crossroads First-Timer Scholarship? (register by March 14, 2025 to receive scholarship)

YesNo
If you were invited by someone please list his/her name here and he/she will get a $25 dollar discount (You cannot change this name later)
Scholarship Limitations

- Deposits are non-refundable

- Must receive registrations by scholarship deadline (March 14, 2025) to receive the scholarship.

- There is a limit of ONE “$25 dollar discount” per person (example: If you invite 5 “First-Timer” friends, they will each receive the scholarship, and you will receive the $25 dollar discount for 1 of them).

- If the “First-Timer” you invite does not show, then you will not receive the $25 dollar discount

- All scholarships and discounts only apply to the camp fee and will not apply to additional packages, spending money, apparel, etc.
Signature*

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Payment Options (only choose 1)*
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Deposit Only
$10.00

Full Registration
$140.00

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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