2019 Youth Retreat-Arctic Blast
This year we will be having our youth retreat at the Lake Geneva Youth Camp and will attend their event-Arctic Blast!

Additional Information:

Watch their video: https://vimeo.com/282870999

Arctic Blast Website*: http://www.lgyc.org/camps/winter-camps/arctic-blast-iv/

*Please disregard the registration/cost section*

Email address *
Parent First and Last Name *
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Student's First and Last Name *
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Address *
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Phone Number *
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Emergency Contact Name and Number #1 *
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Emergency Contact Name and Number #2 *
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Food Allergies
Yes: Please List
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Will any medications be brought on the retreat? *
If Yes: All medications will need to be held onto by a youth leader. Please list any medications and instructions below. *
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Does your child require handicap accessibility? *
Student's Age & Grade *
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Student's Shirt Size *
Gender *
Preferred Room Mate(s)
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Photographs are sometimes taken of Oak Grove Church ministry activities, including our Retreats, for publicity and promotional purposes, which include, but are not limited to, in-house presentations, church web site, brochures and newsletters. By signing below, you are granting the church permission to use photographs of the above mentioned minor.
In lieu of your signature, please enter your initials:
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As a parent/guardian, I give permission for my child to attend Oak Grove Church Youth Retreat at the Lake Geneva Youth Camp in Lake Geneva, WI. I also authorize treatment under the direction of any licensed physician of the above minor in the event of a medical emergency which in the opinion of the attending physician may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted after reasonable effort has been made to reach me or my emergency contact by phone. I will not hold the church, or their staff, administration, volunteers, or workers, liable for any injury to, or loss of possessions by, the above minor during any activity either on the church property or away.
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