Online Retreat Intention Form
Please complete the Online Retreat Intention Form below and submit it one week prior to the retreat. This allows the staff to accurately budget and plan activities. This online questionnaire does not serve as the official event registration form. ALL JR HIGH AND SR HIGH CAMPERS will also be required to bring a completed Community of Christ Event Registration Form signed by a parent/guardian. This can be downloaded from the FORMS page of the website.
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Check one retreat:
Required
Choose one *
Name (First and Last) *
Your answer
Age *
Your answer
Grade Completed *
Type 'n/a' if staff or an adult retreatant
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Date of Birth *
Your answer
Congregation/Mission Center
Your answer
Emergency Contact Information *
First and Last Name, Relationship to Participant
Your answer
Emergency Contact Information *
Address, Street, City, State, Zip
Your answer
Emergency Contact Information *
Phone Number (s)
Your answer
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