Summer 2025 Template

WHERE: Clearwater Cove

WHEN: July 18, 2025 - July 23, 2025

Departure: Friday, July 18th, 10am

Return: Wednesday, July 23th around 6pm

COST: $467, a deposit of $125 is required to hold your spot.

Money is nonrefundable after April 1, 2025.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact:

Karen Riechers 314-795-6488, [email protected]

Emily Hawkins 314-546-2787, [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($467.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($467.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

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Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Coupon Code

Participant Information

Parent / Guardian Information

Billing Information