WQ 2025 Registration

We're so excited that you're joining us for WQ!

If you have any questions or problems with this form, please contact us at office@ndcef.com

Contact Information

Preferred First Name/Nickname & Last Name

Legal first name (if different than name listed above)

Age (as of Feb 21, 2025)

Gender

Male Female

Grade in School (2024-2025 year)

Student Phone

May we send you text messages?

Yes No

By selecting "Yes" above, I am consenting to receive SMS text messages from Breeze, a tool CEF uses to send information and announcements. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support I can text HELP to 87447. For more details, you may visit the Breeze Privacy Policy and Terms of Service available at breezechms.com.

Birthdate

Email (Please make sure this is a valid email address that gets checked! This is where we will send your confirmation email + later details and updates!)

This address will receive a confirmation email

Mailing Address

Church Name & Town (if applicable)

School Name & Town (if applicable)

Parent/Guardian Full Name

Parent/Guardian Phone Number

Emergency Contact (other than parent listed)

Emergency Contact Relationship to Student

Emergency Contact Phone Number

Local CEF Chapter (if known)

Fargo-Moorhead Northeast Northwest Southeast Southwest Williston Basin I'm not sure

Transportation

CEF provides transportation from the following cities. Please choose the meeting point you plan to use. More information about times and locations will be provided to you as WQ gets closer.

From where will you be riding the bus TO WQ?

Where will you be dropped off AFTER WQ?

Medical Info & Permissions

Does the registrant have health insurance at this time?

Health Insurance Carrier (if applicable)

Subscriber Name (if applicable)

Policy #

Group #

Please list any dietary restrictions/food allergies:

Please list any non-food allergies:

Please list any other medical concerns:

Parent/Guardian, will you give permission for your child's picture to be taken for promotional purposes for CEF of ND, Inc? (By clicking

By digitally signing your name below, you verify that you agree with the following: "I understand that every precaution to ensure my child's safety and well-being during this event has been taken. I hereby release Child Evangelism Fellowship of North Dakota, Inc., its agents and employees from any and all liability for all personal injuries known or unknown that my child may incur while participating in activities conducted, sponsored, or associated with this event. In the event that I cannot be reached in the case of emergency, I authorize a physician selected by the coordinator of this event to administer emergency treatment."

Payment

Registration fee: $105 ($35 non-refundable deposit due with registration; balance due when you check in at camp)

New for 2025: You can purchase a long-sleeved WQ tshirt for $18. If you don't want a shirt, please select "No shirt, please." To purchase a shirt, please register by January 31.

Shirt size

Payment

Please describe any special payment instructions, such as scholarships (if applicable):

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

WQ 2025 Registration

Description

Please Fix the Following