Meltdown 2020 Registration Form
Thank you for registering for Meltdown 2020! We hope that the weekend will be a transformative and powerful time for you and your students. This form is to be filled out only by an adult leader of a youth group and not by individual parents or students. All participants of Meltdown must be registered with a youth group. Ask your youth pastor/leader/volunteer on how to register with your youth group.
Youth Workers, please fill out the form below, and if you have any questions, please contact Rev. Stuart Worth at stuartworth@gmail.com or check out our website at www.MeltdownRetreat.org Thank you!

Quick Facts:
January 24th, 25th, and 26th 2020
Boardwalk Beach Resort, Panama City Beach, FL
Speaker: Josh Griffin
Worship Band: Bethany Barr Phillips
Illusionist: Jared Hall
Hip Hop Artist: Tedashii
Church Name and City *
Your answer
Group Leader's Name *
(Who will be at Meltdown)
Your answer
Group Leader's Cell Phone Number *
Your answer
Group Leader's Email Address *
Your answer
Total Number of People Registered *
Your answer
Total Deposit ($50 Per Person Due Now) *
Your answer
My deposit check will be sent in the mail and postmarked on this date: *
Your answer
I understand this is a non-refundable deposit. *
Required
I realize that as the leader of this group I am responsible for all students and adults in my group. *
Required
I will make sure that all adults who come to Meltdown with my group will be background checked before Meltdown weekend. *
Required
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