PAYMENT PLAN | Delburne Gospel Church

CHILLOUT Payment Plan

Please fill out 1 form for each youth in your family that is planning on going to CHILLOUT.

Please email john@delburnegospel.com if you have any questions.

Parent / Guardian First and Last Name (Required)

Youth Name (Required)

Only one name (if you have more then one going) we will need to set up 1 account per youth attending.

Youth Grade (Required)

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

I understand that I must contact (in writing) Pastor John Miller if my child can not attend CHILLOUT 2 weeks prior to the date of the camp if my youth can not attend. (Required)

no reason needs to be put in the written notice.

Solve 8 + 4 = ?

Delburne Gospel Church

2034 27th Ave
Delburne AB

churchtrac