Dauphin Island Trip 1st step - Registration Form

This is a form for students wishing to attend HCC's Dauphin Island Trip on JUNE 21-27th in Dauphin Island (the Sunset Capital of Alabama!) This form needs to be filled out for EACH STUDENT GOING.  The trip is open to Harrisburg Youth who have finished 6th-12th grade.
 
 Dates: We generally have kids stay the night at the HCC building on Friday, June 20, then depart early on Saturday 21, and return the following Friday June 27th in the evening.
COSTS:  The trip costs $325 without a scholarship. With a HCC scholarship ($150), the trip costs $175. Further financial help available if needed.

Cost includes:  Transportation, lodging, meals while in Alabama (except for one meal out).  

IF FINANCES ARE AN ISSUE, PLEASE LET US KNOW.  You can email Corey Whitaker at cchcorey@hotmail.com for questions or financial needs. We do not want paying for the event to prevent you from coming!

 Filling out this Registration form gets your name on our trip roster!  To finalize your spot on the trip, you will need to pay your portion of the trip payment at our team meeting on Sunday, June 1st at 5:30pm in the church basement.

Youth Section

First and last name of youth planning to attend the trip.

Parent Or Guardian Section

First and last name of parent/guardian.

Finance Section