SpringHill Winter Retreat 2019 Registration
Registration is OPEN for Spring Hill 2019 and we only have a limit number of tickets. Spring Hill will be February 1st-3rd. First Payment of $65 due by DECEMBER 9th but please know that your REGISTRATION ISN'T COMPLETE WITHOUT THIS FORM AND MONEY TURNED IN SO DON'T WAIT. Remaining balance of $100 is due January 13th. Please don't be late with your payments.

ALL PAYMENT MUST BE IN AN ENVELOPE AND MARKED WITH THE STUDENTS NAME. PAYMENT WILL NOT BE EXCEPTED WITHOUT BEING PROPERLY MARKED.

**We are asking that each student attend 2 Small Group Nights in January or be a regular attendee of Youth Group to attend Spring Hill retreat this year. (These sessions will help prepare us for our Spring Hill experience.) You are more than welcome to join us Sunday Nights from 5:30-7pm. This will help to strengthen the relationship with God and with others that you experience while at Spring Hill.**


SPRING HILL  February 1st-3rd 2019
First Payment of $65 due by DECEMBER 9th
Remaining $100 due January 13th
Registration not complete without online form and payment received

QUESTIONS contact Pastor Troy
(260) 388-5844 cell, (810) 732-0282 office or troy@flushingcommunity.org

Email address *
Student Name (Please list just one student) *
Your answer
Gender
Grade *
T-shirt Size *
Address *
Your answer
Student Cell *
Your answer
Student Birthday *
MM
/
DD
/
YYYY
Preferred Email for Student *
Your answer
Parent or Guardian Name *
Your answer
Preferred Email for Parent *
Your answer
Parent or Guardian Cell *
Your answer
Do you currently attend church/Youth Group? *
Required
I understand that I will have to pay $65 to reserve my spot by December 9th. I also understand that I'm responsible to get it to Pastor Troy by December 9th. Failure to do so could result in me forfeiting my spot. *
Required
I understand that I will need to complete a SpringHill online registration form complete with medical and insurance information for this trip. THIS FORM WILL BE EMAIL OUT ONCE PAYMENT IS MADE.
I understand that I will have to attend 2 Small Group Nights in January or be a regular attender of Youth Group to attend Spring Hill retreat this year? (These session will help prepare us for our Spring Hill experience.) You are more then welcome to join us Sunday Nights from 5:30-7pm. This will help to strength the relationship with God and with others that you feel while at Spring Hill. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Flushing Community Church of the Nazarene. Report Abuse - Terms of Service