The Fall Out Retreat
Event Address: Agape Wilderness Retreat 831 Barebone Rd, Bedford, KY 40006
Contact us at (513) 435-7282 or
We are so excited to have you join us on our retreat! This form is a SIGN UP form. By filling out this form you are making a reservation for The Fall Out Retreat. Once we have received your sign up information we will send you a confirmation email with further details. If you do not receive a confirmation email from us, please email us at the above address to confirm your place.
Name of attendee:
Parent's email address:
Do you understand that the cost for this retreat is $110. This includes all meals EXCEPT for lunch on the way home on Sunday. (Send $10 cash with your child for lunch on Sunday) *** We will be offering 2 different fundraisers to help lower the costs of the retreat. More information will be sent in the confirmation email.
Yes, I understand the cost requirements and I agree to pay
I would like to talk to a leader about financial help
In order to finalize your reservation, a deposit of $25 is due by the following Thursday. Checks payable to "The Village Church".
I understand that if I do not pay the $25 deposit then my reservation is not finalized.
Name of person filling out this form:
Relationship to attendee:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service