Student Life Conference 2017
Student Life Conference 2017
Sunday, June 18 to Friday, June 23, 2017 at the Myrtle Beach Conference Center, 2101 N Oak Street, Myrtle Beach, SC
COST: $400 per student, we hope to offset half the cost through fundraising
Students will lodge at Sea Mist Oceanfront, 1200 South Ocean Boulevard, Myrtle Beach, SC (800)793-6507
Student Name  * 
Address  * 
City, State, Zip  * 
Parent Name  * 
Parent Phone Number  * 
Emergency Name  * 
Emergency Contact Phone Number  * 
I understand that Brighton Christian Church is not liable for any accident involving my child beyond reasonable control. In case of emergency, I authorize medical help if necessary.
Does your child have any medical issues, such as heart trrouble, allergies, asthma, etc.?  * 
If so, please indicate:
Does your child take medication that you will be sending with him/her?  * 
I give my child permission to attend this event, and I am the parent/guardian - type your full name:  * 
Your Email Address  * 
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