Christian Job Corps
Annual Leadership Retreat

June 18, 2025

Camp Copass

8200 E McKinney St, Denton, TX 76208

Website | Google Maps

Attendee Information

First Name

Last Name

Phone

Do you have any dietary restrictions due to a medical condition?

YesNo

Please specify your dietary restrictions.

Site Information

Select the city where your site is located

Site Name

If you don't see your site, select "My site is not listed" below.

My site is not listed.

Enter the name of your site

Lodging Information

Registration

Double Occupancy ($100)Single Occupancy ($125)

Do you have a roommate preference?

YesNo

Please provide the name of your preferred roommate.

Emergency Contact Information

First Name

Last Name

Phone

Payment

Discount Code

Calculations

Base Price

Discount

Total

Payment Type

Credit CardeCheck

Registration Summary

Registration Subtotal

Discount Applied

Total Amount No CC Fee

Credit Card Fees*

3% added for credit card processing

Registration Total

Net Amount

Credit Card Information

Name on Credit Card

Credit Card Number

Expiration Month

Expiration Year

Security Code

3-digit security code usually found on the back of your card. American Express cards have a 4-digit code located on the front.

eCheck Information

Bank Name

Name of Account Holder

Bank Routing Number

Bank Account Number

Account Type

CheckingSavingsBusiness Checking

Contact/Billing Information

First Name

Last Name

Street Address

City

State

Zip Code

Authorize.Net Hidden

Authnet_Hidden_Fields

CJC Annual Leadership Retreat

Christian Job CorpsAnnual Leadership Retreat

Payment

Christian Job Corps
Annual Leadership Retreat