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Children (5 or under)
Adult
Children (6-10yr)

MOTELS ARE CURRNTLY SOLD OUT! Only select this option if you have already remitted payment to Carlotta Ramos and are registering retroactively.
E-mail Address
Phone Number
Motel 2 nights (adult) occupancy $122 per person (food included)
Motel 2 nights (children 6-10yr) occupancy
$89 per person (food included)





Age
(must be 18 years or older)
Lodge 2 nights (adult) occupancy $102 per person (food included)
Lodge 2 nights (children 6-10yr) occupancy
$77 per person (food included)

Address
For PIBC Members only:
Note:  Members who are not using the Skycroft lodge or motel are allowed to pay meals at $15.00 per meal
Names of Additional Participants
6 meals $90.00

5 meals $75.00

4 meals $60.00
We Accept Paypal or Check Payment
Check box to complete registration
In case of an emergency where I am unable to authorize medical treatment for my self and the above person is not available, I authorize Skycroft Conference Center Medical Facilities and Church Leaders and Deacons to provide first aid and to authorize emergency treatment for me.
emergency contact
Blog Comments, click 'see who's coming' tab at top to read blogs.
(I'm excited!!!)
Contact Number
Name of your Primary Doctor, Contact Number, and Insurance Provider