GWC Youth Winter Retreat 2023 Higher Calling Registration (Due: See below for dates)
We will be joining Youth Higher Calling Conference this winter retreat!

Theme: Awakening
Dates: 12/26 (Tuesday) - 12/29 (Friday)
Location: Sheraton Fairplex Hotel & Conference Center (601 W McKinley Ave, Pomona, CA 91768)
*RETREAT FEE - $200 (by 11/26) ; $230 (by 12/10) ; $260 (after 12/10)
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Email *
STUDENT INFORMATION
Name (First, Last) *
Age / Grade (current) *
Birthdate *
MM
/
DD
/
YYYY
Gender *
Student's Phone *
Student's Email *
Have you ever attended Higher Calling Conference before?
*
Home Address *
School *
PARENT/GUARDIAN INFORMATION
Name (First, Last) *
Phone *
Email *
ALLERGIES/ MEDICATIONS/ RESTRICTIONS
Food Allergy *
Other Allergy *
Medications *
Activity Restrictions *
ADDITIONAL INFORMATION
What to Bring
PARENTAL PERMISSION *
I, the parent or legal guardian of the participant listed on this form, certify that he/she has my full approval to participate in the event(s) listed above with the Graceway Church. The individual identified on this form understands that all participants are expected to abide by the Program rules and be directly responsible to their church leader. The Event Director assumes responsibility for discipline at the Program and, if necessary, may, because of misconduct or disobedience, require a participant to leave. In such instance, I will assume full responsibility for returning the participant home. Further, I do release and hereby agree to hold blameless Graceway Church and its employees and volunteers from any and every claim arising, or which may be asserted by me or by any member of my family by reason of participating in any activities associated with the Graceway Church. I also release the lessor/owner of properties on which the Program is held. I agree to pay for any damages or property loss as determined. Further, I do authorize the minister or sponsor of this activity staff member, in the event I cannot be reached by phone, to give consent to a physician and/or hospital for emergency medical or surgical treatment while on this trip. It is understood that I will assume any financial responsibility for any expense that may be incurred for said emergency treatment.
Required
PARENTAL PERMISSION (Please type your first and last name) *
In signing this agreement, I hereby acknowledge and represent that I have read this entire document, that I understand its terms and provisions, that i understand it affects my legal rights as well as, if applicable, those of my child, that it is a binding agreement, and that I have signed it knowingly and voluntarily.
Would the student want to apply for Soul Care (therapy session with a professional Counselor)? *
RETREAT FEE - $200 (by 11/26) ; $230 (by 12/10) ; $260 (after 12/10)
Graceway Church politely requests you to submit this and payment by December 26th to Pastor Paul or Pastor Rachel. [Venmo: @rach_park]

***We will also be accepting gifts to assist other participants who need a scholarship.

Please make checks payable to Graceway Church.
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