Guy's Retreat Registration 2026

Participant Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Please list any allergies:*
I am*

in Middle School (7th-8th grade)in Sr. High (9th-12th grade)an Adult Attender

To grant permission, this form must be completed, signed, and dated by parent or guardian.
TRAVEL PERMISSION:

If transportation is provided, I give permission for my child to be transported by ECC Student Ministries.
Travel Permission:*

Yes- I give permission for my child to be transported by ECC Student MinistriesNo- I do not give permission for my child to be transported by ECC Student Ministries
Parent/Guardian Name:*

First NameLast Name
Cell/Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Signature*

Clear

Payment:

You may pay by cash, check (made out to ECC Students), or ECC Cash or online by credit/debit card.
Cash/Check/ Other Payments

If you are paying by cash/check/other, you may turn in your payment at the church office, or leave your payment in the lockbox at the ECC Students Kiosk lockbox. If using the lockbox, please use the payment envelopes and include your name and the event you are paying for on the outside of the envelope.
I will be paying by:*

Cash/Check/OtherCredit/Debit (Online)

Online payment (credit/debit)

2026 Guys Spring Retreat RegistrationWalnut Ridge

$135.00

Total

$0.00

GUYS' SPRING RETREAT '26