Middle School Retreat 2019
Please fill out the form below to register for our retreat. If you have any questions or concerns, you can contact Brentview's Student Ministries Coordinator, Gabe Lucente, at gabe@brentviewbaptist.com

Our retreat will take place at Gull Lake Centre from May 3rd-5th. Our students will be meeting at Brentview Baptist Church on Friday, May 3rd, for 4:30 pm in order to be ready for a 5:00 departure on bus. We will return by bus to Brentview for 4:00 pm on Sunday, May 5th.

Email address *
Student's Full Name *
Your answer
Student's Birthday *
MM
/
DD
/
YYYY
Student's Grade *
Student's Gender *
Student's Alberta Healthcare Number *
Your answer
Student's Medical Information/Allergies
Your answer
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #2 Name
Your answer
Emergency Contact Name and Phone Number *
Your answer
Is there any other information I should know about your student?
Your answer
Registration Fees
Registration cost: $110
Early-bird registration (form submitted on or before March 31st): $95

Payments can be submitted via cheque, made out to Brentview Baptist Church, or cash, in a sealed envelope with your student's name and "Middle School Retreat" printed on it. All payments are due by April 28th. If your registration cost is not covered by this time, your spot on the trip may be forfeited.

If the cost of the retreat would prevent your family from participating, please send an email to gabe@brentviewbaptist.com. We want to try our best to ensure that no one is unable to participate because of financial barriers.

Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service