Mission Madness Registration "*" indicates required fields Step 1 of 4 25% Contact DetailsChurch Name* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Group Leader Name* First Last Phone*Group Leader Email* Attendee DetailsNumber of Youth MalesNumber of Youth FemalesNumber of Youth*Number of Adult MalesNumber of Adult FemalesNumber of Adults*Total Participants* T-Shirt SizesAdult SizesXS Quantity Price: $0.00 Quantity S Quantity Price: $0.00 Quantity M Quantity Price: $0.00 Quantity L Quantity Price: $0.00 Quantity XL Quantity Price: $0.00 Quantity XXL Quantity Price: $0.00 Quantity Other Youth Event Payment PolicyPayments, Adjustments, Cancellations and Refunds*•A 50% deposit is required at the time of registration, with the remaining balance due upon arrival onsite. •Payments can be made online using a credit card or by mailing a check to CBF Virginia, PO Box 425, Midlothian, VA 22321. •Online payments may be subject to an added online payment processing fee of 2.9% •Changes to the number of participants may be made 4 weeks prior to Mission Madness. •Any changes to registrations or group cancellations must be submitted in writing via email to office@cbfva.org. •All deposits are non-refundable and non-transferrable I agree to the Payments, Adjustments, Cancellations and Refunds policy.Event Selection and PaymentA 50% deposit is due at registration. Invoices for remaining balance will be sent 3 weeks prior to event start date. Select Location*Desired Location/DateEagle EyrieWade CenterStandard Registration Quantity includes stay in a lodge, possibly with other churches, five meals, mission project supplies, recreation, program costs, and a t-shirt. Price: $55.00 Quantity Commuter Registration Quantityfor those who commute or provide their own lodging. Includes three meals, mission project supplies, recreation, program costs and a t-shirt. Price: $27.50 Quantity Standard Registration Quantityincludes lodging at Wade Center*, five meals, mission project supplies, recreation, program costs, and a t-shirt. Price: $55.00 Quantity Registration w/o Lodging Quantitywhich includes five meals, mission project supplies, recreation, program costs, and a t-shirt. You will be responsible for obtaining your own lodging. Price: $27.50 Quantity Total Please note: This total reflects a 50% deposit. You will be sent an invoice for the remaining balance before the event.Payment Preference* Check Credit Card Credit Card Check PaymentPlease be sure to send in your check to CBF Virginia at PO Box 425, Midlothian, VA 22321. Δ