Fall Retreat Registration - November 22-24
Questions to be answered by teen and parent
Teen's name *
Your answer
Teen's phone number *
Your answer
Teen's email address *
Your answer
Teen's birthday (including year) *
Your answer
Teen's school and grade year *
Your answer
Teen's church *
Your answer
Teen's shirt size *
For the teen: I will have a good attitude. I will show respect to the adult leaders, my peers, and those working at the retreat facility. I will be a part of all retreat activities, show modesty in my attire and my actions, avoid bad language, and not bring anything inappropriate with me. I understand the rules for the retreat are made for my safety so I can enjoy the retreat to the fullest. I understand that failure to abide by these rules will result in disciplinary action. *
For the teen and the parent: We request all teens to leave their electronic devices (phones, ipods, smartwatches, etc) at home. We believe electronic devices can be a big distraction to the device owner and to those around them. The purpose of the retreat is to "get away and get with God". In a sense, we are asking teens to fast from their devices for the weekend. There is something powerful about a community deciding to do this together. Teens are encouraged to bring a regular watch with them so that they know the time and are able to follow the retreat schedule. They are also welcome to bring a camera to take pictures. The adult leaders will have phones so that you may contact them if necessary. On the day we leave, we will provide parents and guardians with the names and numbers of all our adults going on the trip so that you will have multiple ways to reach the group if needed. If we see a teen with their phone or any other electronic device, it will be taken away from them. They will not receive a warning. It will be taken at that time. We will keep the phone for them until the end of the retreat and it will be given back to them at that time. *
Parent/Guardian Name *
Your answer
Parent/Guardian phone number *
Your answer
Parent/Guardian email address *
Your answer
We provide late night snacks during our retreat. Snacks can be purchased or homemade. We are looking for a variety of salty, sweet, and healthy as well as cases of water and cans of soda. Would you like to provide a snack? *
For the parent: If there is an emergency regarding your teen, we will contact you. Emergency medical care may be given to my son or daughter if necessary. *
Please enter the following medical info: physician, phone number, insurance, policy number. *
Your answer
Are there any allergies, conditions, or medications we should be aware of concerning your son or daughter? *
Your answer
I understand this event will require my teen to stay on a schedule and follow the rules. My son or daughter has permission to participate in the BACON and Friends Fall Retreat on November 22-24, 2019. *
The cost for the retreat is $125, which includes transportation, lodging for Friday night and Saturday night, and meals from Saturday breakfast through Sunday lunch, as well as late night snacks! Please indicate how you will pay. *
The online payment can be made through the church website here: https://tinyurl.com/y23m3d6k
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