Junior Retreat at The Castle
Join us for an awesome weekend of games, great food, Bible study, music, movie and snacks.

Our team of adult counselors and high school Counselors in Training from Bethany & Lebanon Churches will be on hand at all times to make sure that everyone has a fun and safe time.

We will meet at Bethany on Saturday, Nov. 17 at 7:15 am and return on Sunday, Nov. 18 at 3:00 pm.

**5th & 6th Grade have the option of going up early on Friday at 6 pm or Saturday at 7:15 am.

Please bring- sleeping bag, pillow, warm clothes, gym shoes, outdoor shoes, toiletries, salty snacks to share (girls), sweet snacks to share (guyss), pen/pencil, and a Bible. Bibles will be provided if not available.

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REGISTRATION INFORMATION
Student's Name (First & Last) *
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Gender
Grade: *
**ATTENTION 5th & 6th Grade** Join us for a free extra overnight of games and fun! Meet at Bethany on Fri., Nov. 16 at 6 pm. This is optional for 5th & 6th grade, so you can also join us on Saturday morning at 7:15 am.
Roommate Request
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Student's Address *
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Parent's Mobile Phone: *
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Authorized Pick-up *
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Allergy/Dietary/Medical Information *
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Church Affiliation
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TRANSPORTATION
Transportation is provided by a Watson bus on Saturday, Nov. 17 at 7:15 am and Sunday, Nov. 18 at 230 pm. Special transportation will be provided on Friday evening for the 5th & 6th grade attending. Please let us know below if you need to drop off late, pick-up early, and what date/time.
Parents are encouraged to have their child to attend the whole retreat for the best experience.
COST
Cost is $35 per student. Please make payments out to "Bethany Church" (100 W. Venango St. Mercer, PA 16137) and turn them in to the Bethany Church office by Tuesday, Nov. 13th. Need based and multi-child scholarships are available. Please e-mail nate@bethanymercer.org.
Emergency Contact Name *
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Emergency Phone Number *
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LIABILITY RELEASE
I give permission for my child to be transported to and attend Fall Junior Retreat at Bethany Church. I release Bethany Presbyterian Church, as well as employees and volunteers from any and all claims or liability arising out of this participation. In case of emergency involving my child, I understand every effort will be made to contact me. In the event that I cannot be reached, I allow the adult leader to select a medical provider to secure the proper treatment of my child at my expense. This includes hospital visits, injections, and/or medication.
MEDIA RELEASE
I understand that the image and/or voice of my child may be recorded while attending programs and activities with Bethany Church, Mercer, PA. I give my consent to the use of any type of media recording of my child for any editorial and/or promotional material by Bethany Church and/or partnering organizations while attending said programs and activities.
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