SuperStart! 

SUPERSTART! IS A HIGH-ENERGY WEEKEND EVENT IN WHICH PRETEENS (4TH-6TH GRADES) CAN LEARN AND GROW IN THEIR RELATIONSHIPS WITH FRIENDS, LEADERS AND MOST IMPORTANTLY GOD.

EVENT INFORMATION

DATE:

APRIL 7TH-8TH 2017

LOCATION:

THE NORTHERN KENTUCKY CONVENTION CENTER, COVINGTON, KY 41011

HOTEL iNFORMATION:

TBA

COST:

  • EARLY STUDENT $80 DEADLINE 03/05/2017
  • REGULAR STUDENT $90 DEADLINE 03/19/2017
  • LEADER $35 DEADLINE 03/19/2017

         INCLUDES SUPERSTART, HOTEL, & MEALS / TRANSPORTATION WILL BE PROVIDED BY ADULT LEADERS

 

Student Registration Form
Please complete a separate registration form for each student attending
Student Name *
Student Name
Date of Birth *
Date of Birth
Grade *
Parent / Guardian
Parent / Guardian Name *
Parent / Guardian Name
Mobile Phone
Mobile Phone
Emergency Contacts
2 Required - Other than Parent / Guardian
Emergency Contact 1 *
Emergency Contact 1
Emergency Contact 1 *
Emergency Contact 1
Emergency 1 Authorized to Pickup? *
Emergency Contact 2 *
Emergency Contact 2
Emergency Contact 2 *
Emergency Contact 2
Emergency 2 Authorized to Pickup?

Registration is not complete until payment is received.