Your Name:
 [First and Last]
Age:
Birth Date:
 [MM/DD/YYYY]
Street Address:
City:
State:
Country:
Zip Code/Postal Code:
Phone #:
 [xxx-xxx-xxxx]
E-mail Address:
Your Home Church:
 [Church, City, State]

Select a Week
Week One [July 22-July 28] Week Two [July 29-August 4]
This is my first time
Introducing Family:

Billing Information
 Billing information is the same as registration [Ignore this section]

Name:
 [First and Last]
Street Address:
City:
State:
Country:
Zip Code/Postal Code:
Phone #:
 [xxx-xxx-xxxx]
E-mail Address:

Please list additional relatives that are registering at this time:
[Name & Relationship]

Any additional comments regarding your registration:

Registration Verification:

A NON-REFUNDABLE deposit of $50 per adult and $20 per child or $150 per family must be sent following your registration.

Please mail payments to:
Northern Pines of MN
PO Box 1864
Minnetonka, MN 55345

Please do not hesitate to contact us if you have any questions regarding your registration.
You can call Julie Jaderston @ 612-861-5100 or submit a question through our online web form available on our Contact Us page.

Balance of payments after deposit to hold accommodations: 50% is due on February 1st, and the remaining 50% is due On May 1st or as arranged with registrar, payable in checks in U.S. funds, payable to Northern Pines.
Cancellations: Cancellations occurring 14 days or less before the first day of a conference are charged 10% of total registration. This can be applied to the following year’s registration if desired.

Young Adult [Only] Registration
If you have any questions, please do not hesitate to contact us or call 612-861-5100