Love Center Registration
This is a Per Camper Charge including the Chapperone and it is non refundable
Choose Session:
Church or Group Name:
Address:
City:
State:
Zip Code:
Telephone:
E-mail:
Number of Campers including Chapperones
Name on Card:
Per Person Amount:$
Credit Card #:    Enter Credit Card number without spaces or dashes
Credit Card Type:
Expiration Date: /
Enter Month and Date as two digits - Example 01/25
Verification Code:

By clicking this button, you agree that this is a non refundable payment

Do not press the submit button twice because it could cause your card to be charged multiple times.