2017 Fall Retreat

Register for the 2017 Fall Retreat by filling out the information below:

Student's First Name

Student's Last Name

Parent Name

Parent Email

Parent Cell Phone Number

Gender

Male

Female

Your student's current grade?

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

T-Shirt Size

Small

Medium

Large

XL

Is your student able to leave with the main group at 2:00pm?

Yes

NO

If no, please let us know the earliest they would be able to leave?

Please Note: Students are not officially registered until a $75 deposit per student is given online or to Susan Lee in the church office.

Success! Your registration has been submitted. Please note that you are not officially registered until a deposit has been received.