Health Camp 2021 - Registration Form Register Today. Registration Form 1 Guest Type / Age Group2 Seminar Days3 Meal Arrangement4 Primary Contact Information5 Other Options / Payment Processing Let's start the registration process.Select which type of guest you will be. Stay In, Day Guest or Camper. Then select the age group of the primary registrant. * Stay In guest will be charged with meals (breakfast and lunch) for the days they will attend. 1 day x 2 meals = 15EUR. Children age 4-11 is half the price, 7.50EUR. Dinner is optional. ** Check-in starts 12 noon of 1 August 2021. Dinner for this day is optional. *** Check-out is 12 noon on 8th August 2021. Breakfast Included.Guest Type*Stay InDay GuestCamperYou're attending as a camper.Please choose the age groups of campers, tick all that applies ....* 17+ years old 12-16 years old 4-11 years old 0-3 years old (FREE) How many persons age 17+? ....*12345678910How many persons age 12-16? ....*12345678910How many persons age 4-11? ....*12345678910You have selected Day Guest.Choose Your Age Group.*17+ years old12-16 years oldAdult 17+ years old, Room Options & Number of Person/sRoom Options*Single Bedroom with Shower/Toilet - €29Double Bedroom with Shower/Toilet - €26Single Bedroom with Shared Shower/Toilet - €24Double Bedroom with Shared Shower/Toilet - €22How many persons?*12345Do you have children or sibling/s attending with you?*YesNoTheir Age Group. Click all that apply.* 12-16 years old 4-11 years old 0-3 years old (FREE) Youth: Age 12-16 Room Options*Single Bedroom with Shared Shower/Toilet - €16Double Bedroom with Shared Shower/Toilet - €15Single Bedroom with Shower/Toilet - €20Double Bedroom with Shower/Toilet - €18How many persons age 12-16?*12345Children/Sibling: Age 4-11 Room Options*Room with Shared Toilet/Shower - €11Room with Toilet/Shower - €13How many persons age 4-11?*12345Day Guest - 17+ years oldHow many persons age 17+? ..12345Day Guest Adults - 10EUR per day; Meal Not Included.Do you have children or sibling/s attending with you? ..*YesNoTheir Age Group. Click all that apply. ..* 12-16 years old 4-11 years old 0-3 years old (FREE) How many persons age 12-16? ..*12345How many persons age 4-11? ..*12345Day Guest - 12-16 years oldHow many persons age 12-16? ...12345Day Guest Below 17 years old - 5EUR per day; Meal Not Included.Do you have younger sibling/s attending with you? ...*YesNoHow many persons age 4-11? ...*12345 Please select the Days you would like to attend then click Next.* August 1 Dinner is optional, you will be given option to select it later in the form.Arrival - 1st August 1 August 2021 Day 1 2 August 2021 Day 2 3 August 2021 Day 3 4 August 2021 Day 4 5 August 2021 Day 5 6 August 2021 Day 6 7 August 2021 Subtotal (Room Options)* Price: 0,00 € Subtotal (Breakfast & Lunch)* Price: 0,00 € Subtotal (without Meal/s) ..* Price: 0,00 € Subtotal (without Meal/s) ...* Price: 0,00 € Subtotal (without Meal/s) ....* Price: 0,00 € Would you like to be served with meal/s?*YesNoPlease select the meals you would like to book based on the dates you selected in the previous section.Meal: 1 August 2021 Dinner Meal: 2 August 2021 Breakfast Lunch Dinner Meal: 3 August 2021 Breakfast Lunch Dinner Meal: 4 August 2021 Breakfast Lunch Dinner Meal: 5 August 2021 Breakfast Lunch Dinner Meal: 6 August 2021 Breakfast Lunch Dinner Meal: 7 August 2021 Breakfast Lunch Dinner Meal: 8 August 2021 Breakfast Lunch This option for those who would like to eat breakfast/lunch on the departure day.SubTotal: Meal/s .. Price: 0,00 € SubTotal: Meal/s ... Price: 0,00 € SubTotal: Meal/s .... Price: 0,00 € Primary Contact / Billing InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Additional Adult participants.*Please list the other Adults (17+ years old) that you would like to register. One line per each complete name. Write N/A if not applicable.Youth Participants 12-16 years old.*Please list the youth (12-16 years old) that you would like to register. One line per each complete name.Youth Participants 12-16 years old. (Day Guest)*Please list the youth (12-16 years old) that you would like to register. One line per each complete name.Youth Participants 12-16 years old. (Day Guest)*Please list the youth (12-16 years old) that you would like to register. One line per each complete name.Children Participants 4-11 years old.*Please list the children (4-11 years old). One line per each complete name.Children Participants 4-11 years old. (Day Guest)*Please list the children (4-11 years old). One line per each complete name.Additional Camper participants (17+ years old)*Please list the other Adults (17+ years old) that you would like to register. One line per each complete name. Write N/A if not applicable.Additional Camper participants (12-16 years old)*Please list the other Adults (12-16 years old) that you would like to register. One line per each complete name. Write N/A if not applicable.Children Participants 4-11 years old. (Camper)*Please list the children (4-11 years old). One line per each complete name. N/A if not applicable. Optional ItemsDinner 1 August 2021 2 August 2021 3 August 2021 4 August 2021 5 August 2021 6 August 2021 7 August 2021 Breakfast 8 August 2021 Subtotal: Optional Price: 0,00 € Subtotal: Optional .. Price: 0,00 € Subtotal: Optional ... Price: 0,00 € Subtotal: Optional .... Price: 0,00 € Total Bill for all options selected.Below is the total amount based on the selections you have made. Click PREVIOUS to modify options. Otherwise, click the preferred option to pay the total amount.Seminar Fees Price: 0,00 € The Seminar Fee is 15EUR per day. Children (4-16) 8EUR per day.Seminar Fees .. Price: 0,00 € The Seminar Fee is 15EUR per day. Children (4-16) 8EUR per day.Seminar Fees ... Price: 0,00 € The Seminar Fee is 15EUR per day. Children (4-16) 8EUR per day.Seminar Fees .... Price: 0,00 € The Seminar Fee is 15EUR per day. Children (4-16) 8EUR per day.Total 0,00 € Payment Methods*Bank TransferPaypal / Credit CardPlease initiate an electronic payment using the following bank information: Name of Association: Verein für Ganzheitliche Gesundheit e.V. Address: Brunnenstr.50, 97785 Mittelsinn Country Court: Würzburg Association Registration number: 201144 Telephone: 0177-8742466 Bank and Branch: Sparkasse Mainfranken Würzburg Bank Account IBAN: DE54 7905 0000 0048 4810 30 SWIFT-BIC: BYLADEM1SWU Payment must be received within 3 days upon submission of registration.Thank for your registering. Your registration is almost complete. When you click the Submit button below, you will be taken to the PayPal login screen for processing of the payment.Please proceed when ready.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ This iframe contains the logic required to handle Ajax powered Gravity Forms. Lerchenweg 8 Mittelsinn97785 Germany+49 9356 934715info@bibleway.de Subscribe to our Newsletter. Get updated with what's happening at Bibleway Ministries by subscribing to the newsletter. Thank you for subscribing to our newsletter! First Name Last Name Email Subscribe
