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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