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FALL RETREAT 2019 Registration Form
November 15-17
Busses depart from FBC at 4:45 pm on Friday, 11/15 and return around 11:30 am on the 17th.
Camp Baldwin, Elberta Alabama
Registration fee: $50, $75, or $100 (see deadlines below)
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* Indicates required question
Email
*
Your email
First Name of Student
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City, State
*
Your answer
Zip Code
*
Your answer
Grade
*
Choose
7
8
9
10
11
12
Gender
*
female
male
Parent/Guardian Name:
*
Your answer
Parent/Guardian email address if different from above:
Your answer
This email address belongs to:
*
Mother
Father
Grandparent/Other
Best contact number for Parent/Guardian:
*
Your answer
This phone number belongs to:
*
Mother
Father
Grandparent/Other
Are you a member of First Baptist Church of Pensacola?
Yes
No
Clear selection
If not, are you a member of another church?
Yes
No
Clear selection
If Yes, where?
Your answer
Are you a guest of a church member?
Yes
No
Clear selection
If you answered "Yes" to the last question, then who?
Your answer
PAYMENT OPTIONS
*
Please Check One
LATE REGISTRATION: $100 from October 21st - November 3
Required
I am paying by:
*
Cash
Check
Online Payment (Select "Online Giving from church website -
fbcp.org
)
List two people you would like to room with at Fall Retreat.
We will try and accomodate you with at least one of the names you've listed.
Your answer
T Shirt Size
*
(T-shirts come in adult sizes only)
Small
Medium
Large
XL
2XL
3XL - if available
Do you have a current FBCP Student Medical Release and Waivers completed and on file with the Student Ministry office?
*
These forms were updated Fall 2014 and are different from the ones required by our Children's Ministry. If you haven't completed one since then, you will need to do so. They can be downloaded from our website:
http://fbcp.org/ministries/student-ministry/
Yes
No
This concludes your registration requirements. Please remember to make your payment in conjunction with the completion of this form. Thank you for trusting your student with us. We are praying for an amazing event!
Your answer
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