Mind Games Camp 2021 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 PhoneParent PhoneParent Email Student Email Age on June 13. 2021Birthdate Gender Male Female School Church Student's Preferred Name for Nametag How Did You Hear About Mind Games?Register with Credit Card or by MailRegistration - $495Registration Plus Ropes Course - $520Alumni Registration - $425Alumni Registration Plus Ropes Course - $450Scholarship offset - $195Add Ropes Course - $25Register By MailCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 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
