Youth Trip Registration
Trip participants (both youth and chaperones), please complete the form below. Please note that this form requires signatures from participants and parents (if applicable) and registrations will be processed in accordance with our Youth Trip Registration Policy listed on the trip flyer. Youth and parents, please complete this form together.
Participant Name
*
First Name
Last Name
Trip
*
Youth Ski Trip (January 17-20, 2025)
High School Youth Bethelwoods Retreat (February 21-23, 2025)
Participant Signature: I agree to abide by the participant covenant listed on the trip flyer.
*
Participant Email (if applicable)
example@example.com
Participant Mobile Phone Number (if applicable)
Please enter a valid phone number.
Participant Gender
*
Male
Female
Participant Grade (or Adult)
*
Please Select
5th
6th
7th
8th
9th
10th
11th
12th
Adult
Participant School (if applicable)
Participant T-shirt Size
*
Please Select
Small
Medium
Large
Extra Large
Extra Extra Large
Adult sizing
Roommate Request
In order of preference
Would you like to register a second participant within the same family?
*
Yes
No
Second Participant Name
*
First Name
Last Name
Trip
*
Youth Ski Trip (January 17-20, 2025)
High School Youth Bethelwoods Retreat (February 21-23, 2025)
Second Participant Signature: I agree to abide by the participant covenant listed on the trip flyer.
*
Second Participant Email (if applicable)
example@example.com
Second Participant Mobile Phone Number (if applicable)
Please enter a valid phone number.
Second Participant Gender
*
Male
Female
Second Participant Grade (or Adult)
*
Please Select
5th
6th
7th
8th
9th
10th
11th
12th
Adult
Second Participant School (if applicable)
Second Participant T-shirt Size
*
Please Select
Small
Medium
Large
Extra Large
Extra Extra Large
Adult sizing
Second Participant Roommate Request
In order of preference
Would you like to register a third participant within the same family?
*
Yes
No
Third Participant Name
*
First Name
Last Name
Trip
*
Youth Ski Trip (January 17-20, 2025)
High School Youth Bethelwoods Retreat (February 21-23, 2025)
Third Participant Signature: I agree to abide by the participant covenant listed on the trip flyer.
*
Third Participant Email (if applicable)
example@example.com
Third Participant Mobile Phone Number (if applicable)
Please enter a valid phone number.
Third Participant Gender
*
Male
Female
Third Participant Grade (or Adult)
*
Please Select
5th
6th
7th
8th
9th
10th
11th
12th
Adult
Third Participant School (if applicable)
Third Participant T-shirt Size
*
Please Select
Small
Medium
Large
Extra Large
Extra Extra Large
Adult sizing
Third Participant Roommate Request
In order of preference
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Mobile Phone Number
*
Please enter a valid phone number.
Parent Signature: I agree to abide by the parent covenant listed on the trip flyer.
*
Would you like a second parent to be included in trip communications?
*
Yes
No
Second Parent Name
*
First Name
Last Name
Second Parent Email
*
example@example.com
Second Parent Mobile Phone Number
Please enter a valid phone number.
Please click the submit button to pay amount below ($) and complete registration:
Submit
Should be Empty: