2021 Younger Youth Retreat
May 15, 2021 at Coonskin Park in Charleston. Cost is $10 per person.
Church
*
Contact Person
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Youth 1
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 2
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 3
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 4
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 5
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 6
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 7
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Youth 8
First Name
Last Name
Grade
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Adult 1
First Name
Last Name
Email
example@example.com
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
Adult 2
First Name
Last Name
Email
example@example.com
Gender
Male
Female
Other
LUNCH sandwich option. All have lettuce, tomato & mayo unless noted.
Big John (roast beef)
The Pepe (ham & cheese)
Turkey Tom
Vito (salami, capicola, cheese, onion, oil & vinegar, oregano basil)
Totally Tuna (tuna salad & cucumber, no mayo)
The Veggie (double cheese, avocado spread & cucumber)
LUNCH chip option
Regular
BBQ
Jalapeno
Salt & Vinegar
Thinny Chips
LUNCH cookie option
Chocolate chip
Oatmeal raisin
LUNCH drink option
Bottled water
Coke
Diet Coke
Sprite
Diet Sprite
Mr. Pibb
LUNCH special instructions (Add mustard or onion, remove tomato or mayo, etc.)
PAYMENT
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Younger Youth Retreat registration
$
10.00
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