High School Summer Theology Journey

Date: July 11-18, 2017

For: High School Junior & Seniors Students

Cost:

Early Registration By March 1, 2017 $250
Regular Registration By April 1, 2017 $300
Late Registration By May 1, 2017 $350


Participant Information:

*First name:


*Last name:


*Date of Birth:  
 (MM/DD/YYYY)

*Graduation Year:


*School Name:


Driver's License #:


List any food allergies:


How did you learn about our Summer Theology Journey?


List some reasons you would like to participate in this exciting program:



Guardian Information

*First name:


*Last name:


*Address:


*City:


*Zip Code:


*Phone:


*Email:


WAIVER
I elect to attend the event for Lewis' High School Summer Theology Journey on June 11 through June 18, 2017. I, the undersigned, assigns, executors, and administrators, hereby agree to indemnify, keep and hold harmless Lewis University, their agents, officials, volunteers, and employees, from any and all claims, damages, causes of action, losses, suits, liabilities, judgments, costs and expenses (including reasonable attorney's fees and expenses), and liability imposed by law, which I may have or which may hereafter accrue to me against the University, Lewis University Administration whether or not due to the negligence or omission of the University, Lewis University Administration arising out of or connected with the High School Summer Theology Journey. Furthermore I agree to follow and be bound by the rules and regulations as outlined in the Lewis University Handbook and all local, state, and federal laws.

REFUND POLICY
All Sales are final.

* I AGREE