Winter Retreat 2025

This form is for Campers and Sponsors

Each participant will need a completed registration form.
I am attending the Winter Retreat as...*
Participant Name*

First NameLast Name
I am...*
Current Grade Level*
Participant Date of Birth*

MonthDayYear
Church I am attending with:*
Participant Cell Number*
Please enter a valid phone number.
T-shirt Size (adult sizes)*
Parent/Guardian (emergency contact)*

First NameLast Name
Parent/Guardian (emergency contact) Phone*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Any known allergies? (food, medicine, etc.)*
If YES, please list below...
List any allergies:
Will you be bringing any prescription medications?*
If YES, please list below...
List any prescription medications you will be bringing:
Participant Signature*

Clear
Parent/Guardian Signature for those under 18 years of age:

Clear
Payment for this participant will be:*
Should be Empty:

This form is for Campers and Sponsors