CFC Youth Group Winter Retreat 2017
Date: Thursday December 21 - Sunday December 24
Location: Camp Warren | Decatur, IL
Theme: "TBD"

More info will be emailed closer to the retreat date.

Registration Deadline: November 19, 2017 - $140
Late Registration Deadline: December 3, 2017 - $160
(please see below for payment options)

SPEAKERS: Rev. Min Chung and Rev. KJ Kim

Questions please email:
• Joe Tek at
• Eddie at
• Gee at

First Name *
Your answer
Last Name *
Your answer
Address *
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City *
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Zip *
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Grade *
6th - 12th (Alumni's registration link will be emailed by Joe. Questions please email Joe Yun at
Your answer
Gender *
Payment Options *
Payment Due: Sunday November 19, 2017
Emergency Contact *
Name of Parent / Guardian - Relationship to Child
Your answer
Parent / Guardian Cell Phone *
Your answer
Any known allergies or health conditions *
Your answer
Parental / Guardian Consent *
I give my child permission to attend the CFC Youth Group Winter Retreat during December 21-24, 2017 at Camp Warren at Decatur, IL. I am aware that my child as a participant of this retreat, must abide by all rules and regulations and assume responsibility for his/her actions.
Release of Liability Consent *
In the event that any accident or injury should occur involving my child, I will hold no liability against Covenant Fellowship Church, Camp Warren, or any of their staff or representatives.
Medical Consent *
As may be deemed necessary, I give permission for non-prescription medication (e.g. Tylenol, Advil, Mylanta, Etc.) to be issued to my child, and I authorize any medical treatment by a physician or nurse to be administered to my child. In such a case, I will assume the responsibility of all medical bills.
E-Sign Consent *
Name of person filling out form
Your answer
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