Pacific Coast Christadelphian Bible School
Idyllwild Bible School • Palm Springs Bible School
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Welcome
Idyllwild
Palm Springs
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ONLINE REGISTRATION
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After registering, please complete the
VOLUNTEER FORM
If you are registering a child under age 18 who will be attending without their parents, please complete the
MEDICAL RELEASE
Family Name:
Home Ecclesia:
Home Address:
City:
State:
Zip:
Country:
USA
Canada
U.K.
Australia
New Zealand
South Africa
Other
Phone Number:
Housing Request:
Select
Meadow Camp (Minimum of 4)
Upper Camp
Gilboa Camp
Men's Dorm
Women's Dorm
Sleeping in RV
Sleeping Off Campus
Eating and Sleeping Off Campus
Special Accommodations (VERY Limited)
Registrant # 1 Name:
#1 Email Address:
#1 Gender:
Male
Female
#1 Baptized:
Brother
Sister
Not Baptized
#1 Age at Bible School:
Select
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26-29
30-39
40-49
50-64
Over 64
#1 Class Selection (Grade Completed):
Select
K
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12
College Age
Adult Class
Registrant #2 Name:
#2 Email Address:
#2 Gender:
Male
Female
#2 Baptized:
Brother
Sister
Not Baptized
#2 Age at Bible School:
Select
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26-29
30-39
40-49
50-64
Over 65
#2 Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
Registrant #3 Name:
#3 Email Address:
#3 Gender:
Male
Female
#3 Baptized:
Brother
Sister
Not Baptized
#3 Age at Bible School:
Select
0-2
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18
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20
21
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25
26-29
30-39
40-49
50-64
Over 65
Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
Registrant #4 Name:
#4 Email Address:
#4 Gender:
Male
Female
#4 Baptized:
Brother
Sister
Not Baptized
#4 Age at Bible School:
Select
0-2
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5
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10
11
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13
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18
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20
21
22
23
24
25
26-29
30-39
40-49
50-64
Over 65
#4 Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
Registrant #5 Name:
#5 Email Address:
#5 Gender:
Male
Female
#5 Baptized:
Brother
Sister
Not Baptized
#5 Age at Bible School:
Select
0-2
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5
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9
10
11
12
13
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17
18
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20
21
22
23
24
25
26-29
30-39
40-49
50-64
Over 65
#5 Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
Registrant #6 Name:
#6 Email Address:
#6 Gender:
Male
Female
#6 Baptized:
Brother
Sister
Not Baptized
#6 Age at Bible School:
Select
0-2
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5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26-29
30-39
40-49
50-64
Over 65
#6 Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
Registrant #7 Name:
#7 Email Address:
#7 Gender:
Male
Female
#7 Baptized:
Brother
Sister
Not Baptized
#7 Age at Bible School:
Select
0-2
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5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26-29
30-39
40-49
50-64
Over 65
#7 Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
Registrant # 8 Name:
#8 Email Address:
#8 Gender:
Male
Female
#8 Baptized:
Brother
Sister
Not Baptized
#8 Age at Bible School:
Select
0-2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26-29
30-39
40-49
50-64
Over 65
#8 Class Selection (Grade Completed):
Select
K
1
2
3
4
5
6
7
8
9
10
11
12
College Age
Adult Class
If you are registering a child under age 18, and their parent is not attending, who is their Sponsor for Bible School (Sponsor must be over age 25.)
Notes / Special Requests:
ADD A DONATION to help keep the tuition costs LOW:
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