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YAH Niagara Falls Trip
May 19 - 23, 2025

This form is for your original registration

and $250 deposit or you may pay in full.

See options below.

Register yourself, Name your roommates,

and pay your initial deposit or pay in full here.
2025 Trip forms are located in the church offices.

Full price per person

Single Room Rate per person $1597.00

Double Room Rate per person $1197.00

Triple Room Rate per person $1084.00

Quad Room Rate per person $1028.00

If you are making an additional payment after the initial deposit,

please go to the YAH Niagara Falls Trip Additional Payment Form

at www.fbs.org/yah

Registrant's Name

Name of Spouse (who is registering for the trip)

Name of Roommate(s) other than a spouse - This information helps us know who your roommate(s) are.

If you are paying deposits for named roommate(s) along with yourself on this form, they are considered registered. If not, they must register and pay separately.

Phone Number

Email Address

If you would like an email receipt, please put your email address here.

Room Choice

List room type your are requesting.

Double Room with spouse. (List your names above)

Double Room (List Roommate's name above.) Roommate will register and pay separately unless you are paying their deposit with this registration.

Single Room (Name Listed above.)

Three to a room. (List roommates above.) Roommates will register and pay separately.

Four to a room. (List roommates above.) Roommates will register and pay separately.

This trip will be fairly strenuous with 3 different hotels in 4 nights and the long distance of travel on a bus.

Special Requests: Accessibility needs or other requests. (We may not be able to accommodate all needs, but will attempt to assist if possible.)

Choose the way you would like to pay.

Your deposit must be paid to secure your space.

Please calculate my $250 deposit(s) below.

I would like to pay in full instead of paying the deposit.

Please list the number of people for which you are paying deposits.

Please list numerically so this will calculate your payment amount below.

Amount you are paying. Check the top of this form for full amounts. (Please type numbers only)

Click "Continue to Payment" button, then click on the Pay Pal or Other Payment button to get options for paying with Credit or Debit cards.

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YAH Niagara Falls TripMay 19 - 23, 2025