2017 Mission Camp - History Makers

Theme: History Makers
Date & Time: July 4, 2017 (Tuesday) 5:00 pm – July 7, 2017 (Friday) 2:00 pm
Who: All generations (Kids, Youth, College, KM/EM Adults)
Location: Wheaton College 501 College Ave, Wheaton, IL 60187 - ‘This is not a function of Wheaton College’
Registration & Accommodation: You can register online at http://www.intercp.org

Personal Information

General Information

First Name *
Last Name *
Gender *
Date of Birth (mm/dd/yyyy) *
Church Name

Contact Information

Zip Code
Cell Phone Number (xxx-xxx-xxxx) *
Home Phone Number (xxx-xxx-xxxx)
E-Mail Address *

InterCP Information

Branch *
Please check one that applies to you