9th & 10th Grade Winter Retreat Registration

STAND FREE: Freed to Listen!
"Christ has broken our enslavement to sin and set us free! So stand as free people, and never be slaves again!"
— Galatians 5:1

***Please be certain to fill out the LCY Emergency Medical Information & Permission form!
(You only need to fill this out once per school year unless information changes)***
http://scsynod.us/lcymedicalinfo

WHEN IS THIS RETREAT?
January 20-22, 2017
Arrive Friday evening at 7pm. Dinner will NOT be provided.
Depart Sunday morning after worship, around 11:30 am

WHERE IS IT?
Camp Kinard
6053 Two Notch Rd.
Batesburg-Leesville, SC 29070

The link below takes you to Camp Kinard's website:
http://www.sclrc.com/campkinard.html

WHO CAN COME?
Current 9th & 10th Graders

Share this registration with your friends!
Individual Registration – http://scsynod.us/lcy910wr
Group Registration – http://scsynod.us/lcy910wrgroup

WHAT IS THE COST?
$95 per registrant. Because many congregations supplement this cost, we prefer that payment for the retreat be arranged through the congregation. If you're paying individually, please contact eric@scsynod.com so Pastor Eric knows to be on the lookout for your check.

Unless indicated otherwise in the comments, completion of this registration grants photo release rights for social media, annual yearbook, slideshows, and other forms of printed and digital media.

Completion of this registration also grants permission for the registrant to receive emergency medical care. Please be certain to complete the Emergency Health Form, which is in a separate survey, so that we can have accurate information in the event of an emergency during which a parent or guardian cannot be contacted.

We can't wait to see you there!


This is a link to all our LCY Registrations for events! http://www.scsynod.com/youth

Last Name
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First Name
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Gender
Date of Birth
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Grade
Name of Parent(s) / Guardian(s)
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Home Congregation
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Home Address — Street
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Home Address — City
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Home Address — Zip Code
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Primary Phone — Adult
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Primary Phone — Youth
What's the best number to reach the registrant?
Your answer
Email — Parent & Youth Leader
This information sends an email confirmation to the parent / guardian of our registrants and to the youth leader of the congregation to which the youth belongs. Type the emails separated by a comma (you can add other email addresses this way as well). They should look like this: parent@altavista.com, youthleader@congregation.com
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Email — Youth
What's the best email to reach the registrant?
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Email —Congregation Youth Contact Person
What's the best email to reach the youth contact person?
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Roommate Preference
Please choose only one.
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