WQ 2027 Registration
We're excited that you're joining us for WQ!
Contact Info
Student Name
*
First Name (as you would like to it to appear on a nametag)
Last Name
Age
*
Please Select
12
13
14
15
16
17
18+
As of Mar 5, 2027
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
*
Please Select
Male
Female
Grade in school
*
Please Select
6th
7th
8th
9th
10th
11th
12th
As of 2026-2027 school year
Student Phone Number
*
Please enter a valid phone number. We will send updates to this number.
Format: (000) 000-0000.
Email Address
*
example@example.com (Please make sure this is a valid email address that gets checked. We will send a confirmation email and, later, updates to this address.)
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Name and City (if applicable)
School Name (if applicable)
Local CEF Chapter
*
Please Select
Fargo-Moorhead
Northeast
Northwest
Southeast
Southwest
Not sure which chapter you live in? See our chapter map at ndcef.com
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Emergency Contacts
Parent/Guardian Name(s)
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact--other than parent(s)/guardian(s) listed
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Relationship to Student
*
Grandparent
Aunt/Uncle
Family Friend
Sibling
Other
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Transportation
CEF provides transportation from the following cities. Please choose the meeting point you plan to use. Detailed info about times/locations will be provided to you before WQ.
Pick up place for ride TO WQ
*
Please Select
Bismarck
Grand Forks
Fargo
Jamestown
Minot
I will provide my own transportation
Pick up place for ride BACK FROM WQ
*
Please Select
Bismarck
Grand Forks
Fargo
Jamestown
Minot
I will provide my own transportation
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Medical Info
We collect basic health and insurance information for use in meal planning, first aid provided by the camp nurse, and in case of an emergency.
Is the registrant currently covered by health insurance?
*
Yes
No
Health Insurance Carrier
*
Subscriber Name
*
Policy Number
*
Group Number
*
Dietary restrictions/food allergies
Please list, if applicable
Non-food allergies
Please list, if applicable
Medicine(s) the student will bring to WQ (please note, all medications must be turned in to the camp nurse upon arrival)
Please provide name and dosage directions for each
Other medical/health info that would be helpful for the camp nurse and/or director to know
Please list, if applicable
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Parent/Guardian Permissions/Waivers
INJURY LIABILITY WAIVER AND PERMISSION FOR EMERGENCY CARE: By digitally signing your name below, you verify that you agree with the following: "I understand that every precaution to ensure my child's safety and well-being during this event has been taken. I hereby release Child Evangelism Fellowship of North Dakota, Inc., its agents and employees from any and all liability for all personal injuries known or unknown that my child may incur while participating in activities conducted, sponsored, or associated with this event. In the event that I cannot be reached in the case of emergency, I authorize a physician selected by the coordinator of this event to administer emergency treatment."
*
Parent/Guardian Signature
PHOTOGRAPHY AND VIDEO RELEASE: Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photographs or videos. I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.
*
I grant permission
I do NOT grant permission
By digitally signing your name below, you verify that you grant permission per the Photography and Video release:
*
Parent/Guardian Signature
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Payment
Registration fee: $160 ($35 non-refundable deposit due with registration, balance due upon arrival at WQ) Please note: Scholarships are available--contact your local CEF staff to learn more.
Today, I will pay
*
$35 (deposit only)
$160 (full fee)
Other (select if receiving a scholarship)
Payment method
*
credit card (online)
check (by mail)
Scholarship amount
*
Please enter total dollar amount of scholarship
Scholarship source
*
Local CEF chapter
Church
Other
Total I will pay today
*
If receiving a scholarship, please enter the total you will pay today
Pay by check
Please mail check to: CEF of ND, Attn: WQ, PO Box 1125, Minot ND 58702 (Memo line: WQ--Student's Name)
Payment Amount
Payment Amount
*
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USD
Payment Methods
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