Name(Required) First Last Email(Required) Instagram Handle Phone(Required)Year in School(Required)SelectFreshmanSophomoreJuniorSeniorOtherAre you currently in a Community Group?(Required) Yes No If so, which one?(Required)(can select multiple) Johnny, Isaac, & Bri Kyle, Libby, Chloe C. Justin, Kelly, Brooklin Brandon, Kyle, Chloe P., Miriam Devon, Cam, Emilia Taylor & Kathleen (Women's Group) Strands (Men's Group) Crosstalk Encounter RegistrationPayment Method(Required) Pay Online Pay at the Door (cash/check) Credit Card(Required)Card Details Cardholder Name Total
