Bedlam Retreat 2026

Bedlam Retreat 2026

Jr High Students
Bedlam is a full weekend retreat designed for our students in grades 7 & 8. Throughout this weekend, they will be surrounded by many youth from different Alliance Churches across Canada. It makes for a welcoming environment to meet new people, play lots of games, and deepen their faith and knowledge in who God is.

This is a great opportunity for our young people, and we encourage all students in grade 7 and 8 to attend!

When: October 23rd - October 25th, 2026

Where: Muskoka Woods Camp

Who: Students in grade 7 and 8

Cost: Early Registration by September 25th is $145

Regular Registration by October 6th at $175

Payment may be etransfered to office@gregorydrive.com note* Bedlam - Jr High

OR Cash may be given directly to Jessica or at the church office
Student Information
Student Name

First NameLast Name
Student Grade (for 2026/2027 school year)
Please list any allergies or medical concerns:
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to student
Consent Authorization/Signature
If your child is currently on medications, he/she will be responsible for proper storage and administration unless advised otherwise. initial here*
I,parent/guardian* , give my child listed above permission to travel by vehicle to and from the designated retreat area by a GDAC Empower Youth leader. initial here*
Should an emergency occur, I parent/guardian* , understand that every effort will be made to contact myself or the listed emergency contact. However, if neither can be reached, I give permission to the leadership of GDAC Empower Youth to proceed with appropriate action related to the health and safety of my child. initial here*
By signing this form, I, the parent or guardian, release Gregory Drive Alliance Church Empower Youth, the leadership team, and all other affiliates associated from all claims and actions for any bodily injuries or property damage which may be sustained by said student while participating in any activity, or activities, including travel to and from such activities and any and all activities related to the 2026 Bedlam Conference, Gregory Drive Alliance Empower Youth, or Muskoka Woods Camp.
Signature
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Bedlam Retreat 2026

Student Information

Parent/Guardian Information

Emergency Contact

Consent Authorization/Signature