Contact Information

We're so excited that you're joining us for WQ!
If you have any questions or any problems with this form, please email
Gender *
Local CEF Chapter (if known)
Shirt Size (adult men's sizes) *
Will you need information about transportation? *

Random Helpful Things

How did you hear about WQ this year? *

Medical Information & Permissions

Does the registrant have health insurance at this time? *
Subscriber name is the same as parent/guardian listed *
Does the registrant have any... *
Parent/Guardian, will you give permission for your child's picture to be taken for promotional purposes for CEF of ND, Inc? (By clicking "yes," you verify that you give permission for your child’s picture to be taken for promotional purposes for Child Evangelism Fellowship of North Dakota, Inc.) *


Please choose payment type: *
If your payment is coming from a different source, we just need to confirm some further information with you before proceeding. Please provide details so we can make sure your payment is tracked accordingly (ie chapter/organization/church/person providing payment)!
Once you submit this form, please choose "Pay by Check" on the following page.