Rock the Universe 2024

Parent Name*

First Last

Parent Email*

Parent Phone*

Relation to Student*

Church*

Calvary Fellowship, Miramar, FL

First Student Information

Name

First Last

Grade

Gender

Male
Female

Second Student Information

Name

First Last

Grade

Gender

Male
Female

Third Student Information

Name

First Last

Grade

Gender

Male
Female

Payment Information

The price per student is $285.00. This price includes event tickets for two days, transportation, lodging, and breakfast.

Number of students I wish to register:*

1
2
3

Payment Plan*

Pay $99 deposit upon registration, plus to installments of $93 on October 30 and November 30.

I have read the statement below regarding payment processing.*

Yes

PAYMENTS WILL BE PROCESSED MANUALLY BY EVENT COORDINATOR. A CONFIRMATION EMAIL WILL BE SENT AFTER THE PAYMENT HAS BEEN PROCESSED. Payments received Thursday through Sunday will be processed on Monday. Rate is subject to change based on hotel room availability.

Name on Credit Card*

First Last

Credit Card Number*

Credit Card Expiration Date*

Credit Card CVV Code*

Credit Card Zip Code*

ZIP / Postal Code

I authorize Calvary Fellowship to charge my credit card for the above payment option.*

Yes

I HAVE READ THE CANCELLATION POLICY LISTED BELOW.*

Yes

All cancellations and requests for refunds for Rock the Universe must be submitted in writing via email to event personnel. All cancellations will be assessed a $99 administrative processing fee. No refunds will be provided for withdrawals made within thirty (30) business days prior to the event. Last day to cancel will be Friday, December 15th, 2023. No-Shows - Registered students who do not attend Rock the Universe and have not canceled will not be refunded.

Rock the Universe 2024