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San Antonio 20220 Bootcamp Registration
First Name
Last Name
Email
Facebook Name
Are you a member of Dr. Cubeon's Prep Academy?
Yes
No
If PPK is attending, list full name.
Emergency Contact Full Name
Relationship to you
Phone number
Do You Live in The Hosting State?
Yes
No
The host team includes individuals who live in-state or within the surrounding city, town, or suburb. Host team members volunteer to help purchase supplies, set up, break down, and support the ministry and working needs of bootcamp (ex. supplies, food, beverages, etc).
Would You Like to Be on The Host Team?
Yes
No
(Those who check "Yes" will be contacted by the Host Leader.)
Do Require Lodging Accommodations:
Yes
No
If Yes, Enter Reservation Number. If Not, Enter Where You Are Staying.
I understand that I must provide my lodging information and reserve my room PRIOR to registering for this event, unless I live in this state or staying with someone in this state.
Submit
Charlotte 2022 Bootcamp Registration
First Name
Last Name
Email
Facebook Name
Are you a member of Dr. Cubeon's Prep Academy?
Yes
No
If PPK is attending, list full name.
Emergency Contact Full Name
Relationship to you
Phone number
Do You Live in The Hosting State?
Yes
No
The host team includes individuals who live in-state or within the surrounding city, town, or suburb. Host team members volunteer to help purchase supplies, set up, break down, and support the ministry and working needs of bootcamp (ex. supplies, food, beverages, etc).
Would You Like to Be on The Host Team?
Yes
No
(Those who check "Yes" will be contacted by the Host Leader.)
Do Require Lodging Accommodations:
Yes
No
If Yes, Enter Reservation Number. If Not, Enter Where You Are Staying.
I understand that I must provide my lodging information and reserve my room PRIOR to registering for this event, unless I live in this state or staying with someone in this state.
Submit
Scottsdale 2022 Bootcamp Registration
First Name
Last Name
Email
Facebook Name
Are you a member of Dr. Cubeon's Prep Academy?
Yes
No
If PPK is attending, list full name.
Emergency Contact Full Name
Relationship to you
Phone number
Do You Live in The Hosting State?
Yes
No
The host team includes individuals who live in-state or within the surrounding city, town, or suburb. Host team members volunteer to help purchase supplies, set up, break down, and support the ministry and working needs of bootcamp (ex. supplies, food, beverages, etc).
Would You Like to Be on The Host Team?
Yes
No
(Those who check "Yes" will be contacted by the Host Leader.)
Do Require Lodging Accommodations:
Yes
No
If Yes, Enter Reservation Number. If Not, Enter Where You Are Staying.
I understand that I must provide my lodging information and reserve my room PRIOR to registering for this event, unless I live in this state or staying with someone in this state.
Submit
Burbank 2022 Bootcamp Registration
First Name
Last Name
Email
Facebook Name
Are you a member of Dr. Cubeon's Prep Academy?
Yes
No
If PPK is attending, list full name.
Emergency Contact Full Name
Relationship to you
Phone number
Do You Live in The Hosting State?
Yes
No
The host team includes individuals who live in-state or within the surrounding city, town, or suburb. Host team members volunteer to help purchase supplies, set up, break down, and support the ministry and working needs of bootcamp (ex. supplies, food, beverages, etc).
Would You Like to Be on The Host Team?
Yes
No
(Those who check "Yes" will be contacted by the Host Leader.)
Do Require Lodging Accommodations:
Yes
No
If Yes, Enter Reservation Number. If Not, Enter Where You Are Staying.
I understand that I must provide my lodging information and reserve my room PRIOR to registering for this event, unless I live in this state or staying with someone in this state.
Submit
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