FALL RETREAT 2022 SIGN UP

November 19th-21st | Please fill out this form and click submit.

Name of Student

*

Name of Parent/ Guardian

*

Parent/ Guardian Email

*

This address will receive a confirmation email

Parent/ Guardian Phone

*

Student's Phone

Address

*

How often do you attend church? Choose option that best describes you or your student! :)

*

Please select one option.

4 or more times a month 2-3 times a month 1 time a month Every now and then.

Where do you normally go when you do go? (What days do you normally go? (Wednesday, Sunday mornings, etc.?)

Grade or Adult Leader?

*

Please select one option.

7 8 9 10 11 12 Adult Leader

Shirt Size (Adult sized hoodie)

*

Please select one option.

S M L XL 2XL 3XL

Any special info we need to know? (Allergies, medications, etc.)

If paying cash, place payments inside an envelope (please label with student's name, "Fall Retreat" , and total amount enclosed). You can put payments either in one the dropboxes on campus (outside office or in green building) OR give to Seth.

If paying now, click link below!
**Don't forget to submit both this "sign up" form AND "payment" form if paying now**

Click here to pay!

You can use this link to pay for one or multiple students at a time! It will pop up in a new window.

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November 19th-21st

Please fill out this form and click submit.

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