april 1 - 2 , 2 0 1 6 springfield , il

APRIL 1 - 2, 2016
SPRINGFIELD, IL
March 11 - 12, 2016 | Eastview Christian Church | Bloomington, IL
FORMS
TO SIGN UP AT THE LOWEST PRICE:
1. A CHECK FOR THE TOTAL AMOUNT DUE (see below)...
2. THE BOTTOM PORTION OF THIS FORM…
3. AND A 2015-16 STUDENT REGISTRATION FORM
are due to the Church office on or before SUNDAY, February 7 th.
Total cost of SuperStart is $75.00 if student is signed up and PAID IN FULL BY FEBRUARY 7 th. After FEBRUARY 7th total cost
for SuperStart is $85.00. Cost includes the event, travel, lodging and one meal.
COST
& PAYMENTS
ALL PAYMENTS ARE DUE BY MARCH 11th before we leave the church parking lot. Please make checks payable to Church of
Christ with “Youth Trips” in the memo line. Please contact Pastor Paul to make prior arrangements if you are in need of
financial assistance or unable pay before March 11th.
NOTE: MEALS AND SOUVENIRS ARE NOT PROVIDED BY CIY OR CHURCH OF CHRIST.
STUDENTS SHOULD BRING MONEY FOR 3 MEALS AND SOUVENIRS ($30 is plenty).
ONE fundraiser is planned this quarter before SuperStart. Our Sweetheart Banquet is FEBRUARY 12 th. Students who plan
to attend SuperStart should also make an effort to attend the fundraiser. The total cost of the event is the responsibility of
parents and students. If money is still an issue please contact Pastor Paul by calling our office at (309) 543-2854.
FUNDS
TRAVEL &
SuperStart 2016 is at Eastview Christian Church in Bloomington, IL. Church of Christ will provide transportation for this
Student Ministries event. We will leave the church at 4pm. Lodging will be at Quality Inn & Suites, Bloomington, IL.
Students are encouraged to bring sleeping bags and pillows.
LODGING
Havana Church of Christ Student Ministries | Pastor Paul Webster
350 S. Broadway Street | Havana, IL 62644 | www.havanachurch.com |
CUT HERE AND RETURN THE BOTTOM PORTION TO THE CHURCH OFFICE TO REGISTER FOR BELIEVE!
-----------------------------------------PERMISSION SLIP
Student’s Name:
Do we have a 2015-16 Student Registration Form from you? (If “NO”, please turn one in with this form.)
CIRCLE ONE:
Yes
or
No
Please have your parent/guardian read and sign below:
I, the parent/guardian of the minor listed above give permission for said minor to attend the 2016 CIY Believe Conference with
Havana Church of Christ Student Ministries. I understand the nature of the activities, lodging & travel arrangements as described
above and accept all conditions and financial responsibilities described herein.
___________________________________________
Signature Please
__________________________________________
Print Name Please