Standard Lodging - $160.00 (After December 8, 2008)*

Have you attended a MPA before?	Yes No
Church Name, City & State / Roommate[s]

Standard Lodging - $150.00 (Until January 20, 2009)*

Standard Lodging - $128.00 (Until January 26, 2009)*

Have you attended a MPA before?	Yes No
Church Name, City & State / Roommate[s]

Semi-Private Lodging - $170.00 per person (Until January 26, 2009)*

Have you attended a MPA before?	Yes No
Church Name, City & State / Roommate[s]

Private Lodging - $180.00 (Until January 26, 2009)*

Have you attended a MPA before?	Yes No
Church Name, City & State / Roommate[s]

Standard Lodging - $92.00 (Until April 7)*
PLEASE NOTE: For all registrations for students under 18 years old, the parent/guardian will need to fax a signed registration form to CLM at 540-890-4133.

Grade Conpleted by June 2009

6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade College N/A - Leader

Age

12 13 14 15 16 17 18 19 20-25 26 & Over

Gender

Female Male

Has the student every attended a S.P.A. before?

Yes No

Church Name + City & State/Roommate Request

Allergies/Reactions/Treatments

Early Bird Registration - $79.00 per couple (Until August 3)*

Have you attended a C.A. before?

Yes No

Spouse's Name

Church Name + City & State