BSM Fall Retreat 2018 - Registration
September 28-30, Riverbend Retreat Center, Glen Rose TX, $50

• Enjoy two fun and relaxing days away from UTA

• Spend time with friends and connect with new people

• Stay in a beautiful retreat center along the Brazos River

• Worship God and hear practical Bible messages

• Bonfires, smores, good food, fun group mixers

• Free time to play, study, talk, relax or nap

FILL OUT THIS FORM TO REGISTER FOR FALL RETREAT!

First name *
Your answer
Last name *
Your answer
Mobile phone *
Your answer
Email *
Your answer
What year are you? *
Will you be at least 18 years of age before Sept 28? *
Are you in a BSM / Vertical Group?
Do you have any special medical conditions we need to be aware of? (Only conditions that could present a medical emergency. We will respect your confidentiality. If you prefer you can simply email Gary. gary@utabsm.com)
Your answer
CARPOOL GOING DOWN *
If you checked "NO" - When do you need to leave UTA?
Your answer
CARPOOL COMING BACK *
If you checked "NO" - When do you need to leave Riverbend?
Your answer
DRIVING (Trip is 60 miles each way. BSM reimburses drivers fuel if you take at least three riders.To drive you must have 1) a reliable automobile 2) valid driver’s license, 3) car insurance, 4) willingness to obey all traffic laws, follow the schedule and drive safely.) *
PAYMENT - Please pay online or at the BSM by Tuesday, Sept 25. Need to cancel? You must notify a BSM staff member before Tuesday, September 25. Online payment: https://mkt.com/utabsm *
SIGNATURE: Please type your signature below to affirm the following statement: “I am registering for Fall Retreat. I commit to pay the $50 registration fee. If I can not to go, I will cancel by Tuesday, September 25. I will not hold UTA BSM or Riverbend Retreat Center liable for any injuries resulting in my participation in Fall Retreat.” *
Your answer
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