Mind Games 2018 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 10, 2018BirthdateGenderMaleFemaleSchoolChurchStudent's Preferred Name for NametagHow Did You Hear About Mind Games? Register with Credit Card or by MailRegistration - $495Registration Plus Ropes Course - $520Alumni Registration - $425Alumni Registration Plus Ropes Course - $450Add Ropes Course - $25Register By MailCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Register Without Paying OnlineRegistration - $495Registration plus Ropes Course - $520Alumni Registration - $425Alumni Registration plus Ropes Course - $450Register your student online but mail your check to the Probe office: Probe Mind Games 2001 W. Plano Parkway, Suite 2000 Plano TX 75075
