YAYAC Fall Retreat 2024

Living Skies Region Fall Youth Retreat 2024!
Grades 7-12

WHERE: Lumsden Beach Camp,

Chown St, Lumsden Beach

WHEN: Friday, September 27, 7:00pm

to Sunday, September 29, noon

COST: $60/participant

Registration Deadline: Monday September 23, 2024

Support funding is always available so everyone is able to take part, thanks to some generous sponsors! Just contact Lindsay at 306-291-5943 or livingskiesyaya@united-church.ca and we'll make it work.

***Remember to bring your sleeping bag, pillow, sleeping pad/mattress & some warm clothes!
Participant Registration Form

Please ensure that all sections are completed.
A. Personal Information
Participant Name:*

First NameLast Name
Mailing Address:*

Address

Address Line 2

CityProvince

Postal Code
Participant Email Address:
Phone Number:*

Area CodePhone Number
Birth Date:

MonthDayYear
Grade:
Gender:
Home Congregation (if not connected to a particular congregation, please leave blank)
Photo Waiver: I agree that event photos may be included in the electronic communications of YAYAC. We don't publicise any names or other private information.

YesNo
B. Health and Dietary Information

(Please note: all information is confidential)
Saskatchewan Health Card Number:*
Please provide all health information, dietary restrictions, or other considerations (medications, allergies, accessibility, mental health concerns, etc).
C. Parent/Guardian Permission

(For all participants under the age of 18)
1. Parent/Guardian Name:*

First NameLast Name
Parent/Guardian E-mail Address:*
Parent/Guardian Contact Phone Number:*

Area CodePhone Number
2. Emergency Contact (if different from above):

First NameLast Name
Emergency Contact Phone Number:

Area CodePhone Number
Anything else we need to know that hasn't already been covered above?
I hereby give permission for my youth to participate in the 2024 Fall Youth Retreat as coordinated by YAYAC - the Youth & Young Adult Community of Living Skies Region, United Church of Canada.

In the event of emergency, I also consent to any medical attention or other care/treament considered necessary by the program leadership.
Signature of Parent/Guardian (don't worry - messy signatures are ok!)*

Clear
D. Registration Payment

Cost: $60/participant
Preferred Payment Option*

Credit Card (through PayPal)Cash or Cheque (payable upon arrival at the event)I would like to apply for financial assistance
Credit Card payments: Please check the checkbox, and PayPal Portal will open when you press "Submit Registration Form" button below.
prevnext( X )
Participant Registration Fee$60.00CAD

Total $0.00CAD
E. Submit Registration Form

Last step: Press the "Submit" button below. Please note that this will also open the PayPal portal if you've indicated that you're paying by credit card.
F. Leadership Team Info (just in case you're wondering)

Feel free to contact us if you have any questions or concerns.
Rev. Lindsay Mohn is the regional Minister in support of Youth & Young Adult Ministry for Living Skies Region (geographic Saskatchewan). She's playing the role of registrar and planning team co-ordinator for this retreat and is excited to be working a bunch of amazing leadership people.

Meghan Drabble is the Living Skies Region Youth and Young Adult Animator. It's a long title for explaining that she works on awesome youth events, communication and community building for youth and young adult ministries in our province.

Lindsay: livingskiesyaya@united-church.ca or (306) 291-5943

Meghan: lsyayac.meghan@gmail.com
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Participant Registration Form

A. Personal Information

B. Health and Dietary Information

C. Parent/Guardian Permission

D. Registration Payment

E. Submit Registration Form

F. Leadership Team Info (just in case you're wondering)