Rubicon Backpacking Trip 2026

Please fill out this form to register yourself or a student for the WCC Rubicon Trip September 5th-7th. You MUST complete the PayPal payment or you child will not be registered. You do not have to have a PayPal account - you can use a debit/credit card as a guest.

Rubicon Registration

Name/Parent Name * Parent Name Street Address City Zip Phone - 1 Phone - 2 Email Family church (if applicable)

Child

Name (First/Middle/Last)

Gender

Male Female

Birth Date (mm/dd/yy)

Grade entering in the fall School

Emergency Contact

Name * Phone * Relationship *

Medical Information

Does any above child have any allergies, medicines, or special needs? *

Yes No

Child Name Please explain Doctor's Name Phone

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I have read and agree to the Terms and Conditions stated above *

Date: Thursday, 20 August 2026 (EDT)

Name:

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Fees *

1 child ($60 USD)

To complete registration, continue to payment.
Your child(ren) will not be registered until payment process is complete.
You do not have to have a PayPal account. You can use a debit/credit card and checkout as a guest.

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