Experience Camps Young Adult Retreat Registration Form

Address

Email
example@example.com
Phone Number

- Area Code Phone Number
Birthdate

- Month - Day Year
Date
Are you:

A member of AMF A former Experience Camps camper
Year of high school graduation
Are you currently in:

In high school In college Working In the military
Do you identify as:

Male Female
How would you describe yourself?

American Indian or Alaska Native Black or African American Asian Native Hawaiian or Other Pacific Islander White Hispanic, Latino, or of Spanish
What is your T-Shirt Size?

Adult X-Small Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL
Emergency Contact Information

Please enter the name of the person who should be contacted in the case of an emergency.
Full Name

First Name Last Name
E-mail
Phone Number

- Area Code Phone Number
Relationship to you
Please tell us about who in your life has died and why you would like to attend this young adult grief retreat.
Is there anything else you would like us to know?
Should be Empty: