BSCC Middle School Retreat Registration

BSCC Middle School Retreat Leader Registration

October 24-26, 2025 Please register as a leader for Middle School Retreat by filling out the registration form below. Payment for the retreat must be made at the time of registration.
Leader Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Church*
Please enter the church you attend/are attending the retreat with.
Leader's Gender*

FemaleMale
T-Shirt Size*
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

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Middle School Retreat Leader Registration

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BSCC Middle School Retreat Leader Registration