JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NYYM Central Region Retreat
Event Timing: January 28-30, 2022
Event Address: Camp of The Woods, 106 Downey Rd, Speculator, NY 12164
Contact us: (315) 857-8760 or
jeremiah@jpoulsencoaching.com
Price per person: $135
Group Registration Deadline: December 13, 2021
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Youth Pastor/Primary Leader Name
*
Your answer
Email
*
Your answer
Cell Phone Number
*
Your answer
Church Name
*
Your answer
Church Address
*
Your answer
Total number of people attending (including all leaders and students)
*
Your answer
Total number of male leaders attending
*
Your answer
Total number of female leaders attending
*
Your answer
Total number of female students attending
*
Your answer
Total number of male students attending
*
Your answer
Do you have any questions or comments?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
