Winter Getaway '19
March 8-10, 2019
Camp Winnamocka
$90 per person ($70 if you bring one friend, $50 if you bring two or more)
Deadline for Registration - Wednesday, February 27
Student Name (First and Last) *
Your answer
Street Address *
Your answer
Parent/Guardian Name *
Your answer
Primary Parent Phone Number *
Your answer
Primary Student Phone Number *
Your answer
Parent Email *
Your answer
Known Allergies *
Your answer
T-Shirt Size *
I understand that it is my responsibility as a parent/guardian to complete a CSM Medical Release Form and submit it to the CSM office prior to departure (if your student went to Fall Retreat, you do not have to fill out a Release Form). *
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