Mind Games Online Registration

Student's Name

First Last

Parent's Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Student Cell Phone

Parent Phone

Parent Email

Student Email

Age on June 18. 2024

Birthdate

Gender

School

Church

Student's Preferred Name for Nametag

How Did You Hear About Mind Games?

Register with Credit Card or by Mail

Partial Payment Amount

Enter the amount of the payment here and select the registration type you are making a payment toward in the box below.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Register Without Paying Online

Register your student online but mail your check to the Probe office: Probe Mind Games 2001 W. Plano Parkway, Suite 2000 Plano TX 75075

Make a Partial Payment for the Following Option

Someone from Probe Ministries will contact you for more information concerning your partial payment.