Back to Basics 2017 Registration
November 10 -12
Holston Camp
$69 per person
$10 discount if registered by October 23rd at 12:00pm

Contact Aaron Caton with questions:
info@holstonyouth.org
423-552-1498

First Name
Your answer
Last Name
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Street Address
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City
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State
Zip Code
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Cell Phone
Please enter your cell phone number, or a cell or home phone number for a parent or guardian
Your answer
Grade
Sex
E-mail Address
Please enter your own email address, or an email address for a parent or guardian
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FB
Please let us know if you're on Facebook, and look for the Holston Presbytery Youth Page to keep up with events
Home Church
Please enter your home church. If you don't have one, or attend one outside of Holston Presbytery, please leave a note in the 'Other Comments' box.
Roommate Request
Please list ONLY ONE roommate which MUST BE MUTUAL!
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Adult Advisor
Please list the name of the adult advisor who will be attending with you
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Other Comments
Please list any special dietary restrictions, notes to share with the retreat staff, or further explanation of any questions about in this space
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