Conference Registration Form 

Name *
First Name
Last Name
Spouse Name
First Name
Last Name
Address *
Address Line 1
Address Line 2
Postal Code
Cell Phone
Email *
Second Email
Please select your lodging preference *
If you have a preferred cabin number or room number, please list below.
Are you sharing a cabin or room with anyone outside your immediate family?*
If you are sharing lodging, please list names below

Once you have submitted your registration, please send a $100 deposit per person to secure lodging.

Koronis Bible Camp
Registrar/Jenny Sayre
128 Bridgewater Drive
Vadnais Heights, MN 55127

For questions regarding registration please email