Chalice Sparx 2024 - Individual Registration

First Name *

Last Name *

Organization

Address *

Address 2

City *

State *

Zip *

Phone

Email *

Your Pronouns

Age (if under 18)

T-shirts

Photo Release *

Yes I consent to use of my photo or image for Chalice Sparx advertising or social media

No I do not consent

Comment

Optional Donation

20

30

40

50

60

70

80

100

Registration/Activity fee *

Adults $100

Youth 10-18 $60

Children 4-9 $40

Children 3 and under FREE

Lodging *

Tent $100

RV $150 with electric hookup

Tamarack Lodge Shared Room single $150

Tamarack Lodge Shared Room family $250

Tamarack Lodge Private Room (sleeps 6) $450

Meal Packages *

Adults $125

Youth 10-18 $75

Children 4-9 $50

Children 3 and under FREE

I will Volunteer 2 hrs/day FREE

Dietary concerns/restrictions

Omnivore

Vegetarian

Vegan

Gluten-Free

Allergies

Amount

$

Deposit Amount

$

Payment Type

Payment Method *

Mail a Check to: Chalice Sparx PO Box 1021 Benton Harbor MI 49023

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

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By registering for this event, I accept Terms and Conditions

Individual Registration

Payment Information