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2019 Atholton Youth Retreat Registration
February 15-17, 2019
First & Last Name
Grade in school
School I attend
About me (choose one):
I attend Atholton Church or am a student at AAA
I am an alumnus of a previous Atholton Youth Retreat
I am the friend of a member of Atholton Church or a student at AAA and would like to be put on the waiting list to attend.
Transportation (choose all that apply)
NOTE: If you are driving and under the age of 21, no person under 21 may ride with you, no matter who gives them permission.
I will ride in one of the vehicles provided for group transportation
I do NOT need a ride to the retreat or back - I have my own transportation
I am age 21 or over
I can transport youth up to the retreat on Friday
I can transport youth back to Atholton on Sunday night
Number of youth I can transport each way (don't count yourself)
Leaving early? Please state when and why below.
Attendees are expected to stay until 9:00 pm on Sunday unless prohibited by school or work. If you are required to leave early, please state when and why below.
Dietary restrictions (all meals are vegetarian)
Meals: Please select ALL meals you will eat!
Please note any special needs or things we need to know below:
Parent's cell phone (at least one)
Parent's email (at least one)
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