2026 Winter Chill Registration

March 13-15, 2026 | Please fill out this form and click submit. Questions? Contact Isaiah Curtis, Director of Student Ministries (isaiah@rezumc.org)

Student Info

Name

*

Grade

*

Please select one option.

Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Other

Check if you're part of the leadership team

Please select all that apply.

Leadership Team

Birthdate

*

Gender

*

Please select one option.

Male Female

Mobile Phone

*

Email

*

This address will receive a confirmation email

Home Address

*

Where do you attend church?

Parent/Guardian Info

Parent/Guardian Name

*

Cell/Primary Phone

*

Other Phone

May we send you text messages?

*

Please select one option.

Yes No

Parent's Email

*

Consent

I, the parent/guardian listed above, give permission for my child (student's name listed on form above) to attend Winter Chill with Resurrection United Methodist Church of Hastings.

Please type your initial below. Your initials represent your authorized signature for consent purposes on this form.

Today's Date

Payment

Full Payment – $120 Down Payment – $50 Pay Later – $0

Amount

Comment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

March 13-15, 2026

Please fill out this form and click submit. Questions? Contact Isaiah Curtis, Director of Student Ministries (isaiah@rezumc.org)

Please Fix the Following

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