2023 Fall Youth Retreat
Nov. 10-12, 2023 at Bluestone Camp & Retreat, Hinton. Cost is $65 per person.
Church
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Contact Person
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First Name
Last Name
Email
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example@example.com
Phone Number
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Youth 1
First Name
Last Name
Grade
Gender
Male
Female
Youth 2
First Name
Last Name
Grade
Gender
Male
Female
Youth 3
First Name
Last Name
Grade
Gender
Male
Female
Youth 4
First Name
Last Name
Grade
Gender
Male
Female
Youth 5
First Name
Last Name
Grade
Gender
Male
Female
Youth 6
First Name
Last Name
Grade
Gender
Male
Female
Youth 7
First Name
Last Name
Grade
Gender
Male
Female
Youth 8
First Name
Last Name
Grade
Gender
Male
Female
Adult 1
First Name
Last Name
Email
example@example.com
Gender
Male
Female
Adult 2
First Name
Last Name
Email
example@example.com
Gender
Male
Female
SPECIAL NEEDS: If you have participants with special needs, please note below. These should also be noted on the medical forms participants bring.
DIETARY CONCERNS/FOOD ALLERGIES: Note below if you have participants with food allergies or those who are vegetarians, vegans or have other dietary concerns. Allergies should also be included on medical forms.
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Fall Youth Retreat registration
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