2019 Youth Fall Retreat
Grades 6th to 12th
Dates: September 6th - 8th, 2019
Where: Blue Ridge Assembly
Cost: $125
Student Name *
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Student Email *
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Student Cell Phone Number *
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Parent Name *
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Parent Email *
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Parent Cell Phone Number *
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Emergency Contact Name *
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Emergency Contact Cell Phone Number *
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Allergies?
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