Rooted 2010 - Student Registration Form

February 5-7, 2010 @ Grace Point Church ** David Martin ** Rivenside **
* Separate Form Required for EACH student
* $40 if registered by 1/24/10, $10 late registration fee
* $10 discount for every non-Grace Point friend invited/attending
* Pay online.













(if so, list name of church)





$40/student prior to Jan 24th, $50 after.
For Credit Card Payment use this link. Be sure to check the 'Rooted' box in the 'available funds' section.


I authorize the above student to participate in this event sponsored by Grace Point Student Ministry. I realize this means travel to and from the event location and any medical emergency that may arise. In the event of a medical emergency, I give Grace Point Student Ministry leaders the authority to obtain medical attention for my student. (type full name and today's date)

This is a significant event in the lives of students - we depend upon parents like YOU helping make it a success! Here are just a few of the ways you can contribute to making this event a success: