ANCC Virtual Youth Winter Retreat 2021 Registration
Hello! Please fill out the form below to register for our first Virtual Retreat. A confirmation email will be sent to you with (updates, payment info, the private zoom link for the event.) For questions, please email Pastor Esther at
How many Youth are registering?
Registration Fee: $25/youth
Full Name of Youth(s) registering
Example: John & Jane Choi (or) John Choi, Jane Choi
What Grade is your Youth(s)?
What size would you like your Retreat T-shirt(s) to be? (Adult Unisex Sizes)
Youth(s) Email Address
Retreat confirmations and the private zoom link will be sent to this email.
Youth(s) Phone Number (if any)
This is incase we cannot reach you online during the event. Virtual connection is hard and unstable sometimes, we want to stay connected!
Parent Email Address
Parent Phone Number
For Emergency calls or texts!
Special Needs / Comments
Please list any learning difficulties your child might have, for us to take note of!
It is hard to believe that it has already almost been a year since our last Winter Retreat! May the Lord greatly bless our gathering online this year :) Happy almost 2021!
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