Tribe Family Weekend - Credit Card

9/22 - 9/23 | Please fill out this form and click submit.

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Sign up here to register for The Gate Family Weekend September 22-23! For additional questions, please reach out to our office at (704) 366-9335 or annieo@thegatecharlotte.com.

*If your plans change, you can receive a refund for your ticket up until September 6th.

Name

Spouse's name (if attending)

Children attending between 6-23 months

Please select one option.

1 2 3

Children attending 2yrs

Please select one option.

1 2 3

Children attending 3yrs

Please select one option.

1 2 3

Children attending between 4.5yrs - 5.5 yrs

Please select one option.

1 2 3 4 5

Children attending between 5.5yrs - 7yrs

Please select one option.

1 2 3 4 5

Children attending between 7yrs and 11yrs

Please select one option.

1 2 3 4 5 6 7

Youth attending between 12yrs - 17yrs

Please select one option.

1 2 3 4 5 6 7

Will you and your family be joining us for breakfast on Saturday? (Included in registration).

Please select one option.

Yes No

Will you and your family be joining us for dinner on Saturday? (Included in registration).

Please select one option.

Yes No

This address will receive a confirmation email

Phone

Address

Payment

Individual Registration ( $15) Family of 2 ($30) Family of 3 ($45) Family of 4 ($60) Family of 5 ($75) Family of 6 ($90) Family of 7 ($105) Family of 8 ($120) Family of 9 ($135) Family of 10 ($150) Family of 11 ($165) Family of 12 ($180)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

9/22 - 9/23

Please fill out this form and click submit.

Tribe Family Weekend - Credit Card

Description

Please Fix the Following