VACARE DEO 2022

Step 1

Step 2

First Name

Last Name

Middle Name

Date of Birth

Your Gender

Female

Male

Phone Number

Email Address

Address

City

State

Father First Name

Father Last Name

Mother First Name

Mother Last Name

Emergency Contact Phone

Do you need to be picked up?

Yes

No

Do you need to be dropped off?

Yes

No

Do you want to be a volunteer for Harvest Teen Ministry?

Yes

No

Any special considerations? Such as allergies, medical etc.

How do You Plan to Attend VACARE DEO 2022

Virtual

In Person

0 + 1 =

Do you Plan on Going to AquaTopia Indoor water Park?

Yes

No

Please Upload Image of Child

As part of Vacare Deo 2022, the students will be visiting Aquatopia Indoor Waterpart in Pennslyvania. This will be 2 days and 1 night visit. Cost of Trip will be $160 per child. Price includes admission to the Water Park, Hotel Stay and Feeding, Breakfast, Lunch and Dinner as well as Transportation. Please visit the Link Below to Get More Information About Aquatopia https://www.camelbackresort.com/adventures/aquatopia-indoor-waterpark/