2024 Youth Fall Retreat Registration
Date: Friday, November 1 - Saturday, November 2, 2024 Time: Friday: 7-9 pm; Saturday: 11 am-6 pm Location: Kennesaw MC Campus Cost: $40 (includes the price of a Fall Retreat long sleeve shirt) Registration Deadline: by midnight on Monday, October 14. You can still register after that date but we cannot guarantee that you will be able to get a shirt.
Please eat breakfast before you arrive. Lunch will be provided. We are also going to purchase long sleeve t-shirts for the retreat so please make sure that you fill out what size you wear on this form. In addition to filling this form out, you must also submit your medical release form online. Visit https://www.kennesawmc.org/medicalrelease to do so.
Email
*
example@example.com
Youth's Full Name
*
First Name
Last Name
Youth's Cell Phone
Please enter a valid phone number.
Long Sleeve T-Shirt Size
*
S
M
L
XL
XXL
XXXL
Food Allergies
*
Parent's Name
*
First Name
Last Name
Parent's Cell Phone
*
Please enter a valid phone number.
Have you filled out the medical release form (If no, please make sure to do so by visiting https://www.kennesawumc.org/medicalrelase
*
Yes
No
Online Payment (Or you can pay in person by October --?)
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Fall Retreat Payment
Includes food and long sleeve shirt.
$
40.00
Credit Card
Submit
Should be Empty: