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 16, 2019
Birthdate
Gender
- Male
- Female
School
Church
Student's Preferred Name for Nametag
How Did You Hear About Mind Games?
Register with Credit Card or by Mail
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Register Without Paying Online
- Registration - $495
- Registration plus Ropes Course - $520
- Alumni Registration - $425
- Alumni Registration plus Ropes Course - $450
Register your student online but mail your check to the Probe office: Probe Mind Games 2001 W. Plano Parkway, Suite 2000 Plano TX 75075