CPT Sr. High Outreach - Dec 4 - 6, 2026

WHERE: 19 Pinnacle Point Ln, Brevard, NC

WHEN: December 4-6, 2026

Departure: approx. 4:30pm Friday, December 4th

Return: approx. 4:00pm Sunday, December 6th

COST: $230 (a NONREFUNDABLE $100 deposit is required to register for camp)

Questions and Information

Contact Cole Harper at 8033947539 or [email protected].

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($230.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($230.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed. Your spot will NOT be reserved until the $100 deposit is received.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

T-shirt Size

School

High School Graduation Year

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

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Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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