Winter Weekend
What is up y'all!?!?! Winter Weekend is going to be a blast and we cannot wait! Please take the time to fill everything out as we need all of this information for this awesome weekend! However, before that please read all of this important information about Winter Weekend!

-The Cost for the weekend is going to be $40 (this payment is due no later then Jan. 23rd, if you are to drop from coming after Jan.23rd you will still need to pay your full $40)
-Don't let money be a reason your child does not come with us, we will help and assist in anyway we can
-After completing this form, please pay a deposit of $10 to Sam the next time you see Him

-We are staying in Pigeon Forge (1707 High Rock Way Sevierville, TN 37862)
-Here is a link to the cabin if you want to check it out:
It has an indoor pool, hot tub, movie room, games, and plenty of other things to do

-We will be doing the services at a community center near by

-We will send home a packet about the weekend a week in advance with even more info.

-If you have any questions please email Sam (

Email address *
Participants Name (First & Last) *
Your answer
Participants Age *
Your answer
Grade *
Shirt Size *
Emergency Contact Name (First & Last) *
Your answer
Emergency Contact Phone Number *
Your answer
Any food allergies, medication, or medical concerns we need to be aware of? (If no just write no)
Your answer
Do you have anything special happening on the weekend of Feb.8-10th, we need to know about? (ex. Birthday, leaving for part of the day, Late getting there, if no just put "no")
Your answer
Last Thing
We are so excited that you are going to join us. If you did not read all the information at the beginning please go read it because it is important. Once again any questions please email Sam at
Is The Participant over the Age of 18? *
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