Youth Retreats 2024

Name of Student

Name of Parent(s)

This address will receive a confirmation email

Emergency Contact Phone #

Plans (choose only 1 retreat option)

Jr. High Retreat, April 26th - 28th High School Retreat, April 12th - 13th Need to discuss financial assistance

Please select the "Cash/Check/Other" option below if you are needing to discuss financial assistance.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Eligible Students: Current Jr. High or High School Students

High School: April 12th - 13th
Jr. High: April 26th - 28th
Cost: $50/student

Please fill out the following form and submit it to register your student - one form per student. Nathan will follow up with you on any additional details. Please sign up by February 29th.

Youth Retreats 2024

Description

Please Fix the Following