REACH—HS Retreat Registration
Event Timing: February 15th-18th, 2019
Event Address: Washington Family Ranch, Antelope, OR
Contact Joel Johnson at (520) 955-0583 or
Student's Full Name *
Your answer
Gender *
Primary Contact Email *
Your answer
Emergency Contact Name
Your answer
Emergency Contact Cell #
Your answer
Church Affiliation *
Your answer
Grade *
Dietary Restrictions *
Please use this space to notify leaders of any medical concerns, including medications and allergies: *
Your answer
Anything else we should know to make this a great experience? *
Your answer
Early bird payment is $195 for students (until Jan 20). This can be paid to Journey Community Church or Fox Island Alliance. You can pay directly, or through your church's online giving application (just be sure to note "HS Retreat Registration") . *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service