Walk in His Light (SAW) — Boys Retreat 2026 Registration
Your son's spot is not reserved until payment is complete.
Participant Information
Participant Full Name
*
First Name
Middle Name
Last Name
Age
*
T-shirt Size
Please Select
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Current LevelUP Mentorship Participant?
Yes
No - registering from outside the program
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Middle Name
Last Name
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
Emergency Contact
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
*
Medical & Dietary
Allergies (food or environmental)
Dietary Restrictions
Medications (name, dosage, and instructions)
Medical Conditions or Special Needs
Physician Name
*
Physician Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father Chaperone & Transportation
Are you or another father interested in volunteering as a chaperone for the weekend?
*
Yes
No
Maybe - please contact me
Do you have a vehicle that can seat 5 or more passengers for carpool transportation?
*
Yes
No
Agreements
Photo/Video Release
*
Yes, I give permission
No, I do not give permission
Medical Release
*
I authorize the LevelUP retreat team to seek emergency medical care if needed
Code of Conduct
*
I agree that my son will follow the retreat code of conduct, including respect for mentors, fellow participants, and camp property
Liability Waiver
*
I acknowledge the risks of an overnight outdoor retreat and release Mahabah, Inc. and its volunteers from liability to the extent permitted by law
After submitting this form, you will be redirected to Zeffy to complete payment and finalize your registration.
Submit Registration
Should be Empty: