Fall Teen Retreat
Open to those in grades 7-12; September 25th - 27th at Tay Valley Bible Camp
Male or Female:
Emergency contact: Name & phone number:
Medicare # (Insurance provider if from U.S.):
Please list any medications and dosages. (Medication must be turned in at registration)
Please list any allergies.
The cost of this retreat is $50. Please select preferred method of payment:
Cash, Cheque, or Money Order upon arrival
Pay online with Credit/Debit Card upon receiving an invoice via email
A copy of your responses will be emailed to the address you provided.
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