HI-C Registration Type of Registration*High SchoolCollegeYoung ProfessionalOtherFirst Name*Last Name*Email*Phone Number*Gender*MaleFemaleDate of Birth*Sponsor*What is your religion?*Seventh-day AdventistChristianCatholicBuddhistHinduMuslimNo ReligionOther ReligionWhere do you go to school?*What church or youth group are you with?*Comments and/or special needs:How did you hear about Public Hi-C Retreat?*FacebookWebsiteFriendsChurchCAMPUS StaffNone of the above (Please specify below)How did you hear about Public Hi-C Retreat?*Roommate RequestHow would you like to pay?*CardCash / CheckCard payment will be done online. Cash / check can be done on-site.Total: $60Pay NowSubmitThank you for registering! We will contact you soon.