Teen Retreat

Teen Retreat
CONTACT INFORMATION
Church Name
Church Address

Street Address

Mailing Address

CityState / Province

Postal / Zip Code
Primary Contact
Primary Contact Phone Number
Please enter a valid phone number.
Contact Email
example@example.com
REGISTRATION
(Check the boxes that apply. Unchecked box will not be added to the total.)
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TOTAL # of Teen Guys
$50.00 Quantity



TOTAL # of Teen Girls
$50.00 Quantity



TOTAL Male SponsorsFirst Male Sponsor Free. Each additional is $25.
$ Free Quantity



TOTAL Female SponsorsFirst Female Sponsor Free. Each additional is $25.
$ Free Quantity



Total

$0.00
* For single day registration, contact secretary@hoosierhillsbaptistcamp.org

* Please make sure each person in your group (sponsors included) submits a waiver of liability. Both a printable version AND an online version (new this year!) are available on our website under the Resources tab.
Notes:

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.