Middle School Retreat at Camp Grier Registration 2018
Student or Adult Chaperone Name *
First and Last (ex: "Adam Bowling")
Your answer
Current Grade *
(1) Parent or Guardian's Name: *
ex: "Pat Bowling"
Your answer
(1) Parent or Guardian's e-mail: *
Your answer
(1) Parent or Guardian's Primary Phone: *
ex: "828-437-1811"
Your answer
(1) Parent or Guardian's Secondary Phone:
ex: "828-448-8914"
Your answer
(2) Parent or Guardian's Name:
ex: "Willaim Bowling"
Your answer
(2) Parent or Guardian's e-mail:
Your answer
(2) Parent or Guardian's Primary Phone:
ex: "828-448-8914
Your answer
(2) Parent or Guardian's Secondary Phone:
ex: "828-437-1811"
Your answer
Cost: $95 - $20 from youth budget = $75 (your cost) *
Please put "M.S. Youth Retreat" on all check memo lines! Note: Add $10 late fee after October 29!
We understand that this retreat starts Friday, Nov. 9 (at 4:45 PM) and concludes following worship and lunch on Sunday, Nov. 11. *
I/We have recieved the Official PWNC Middle School Retreat Packing List for 2018 *
I/We understand the need for Adult Chaperones is great! *
One adult per 6 youth must be registered, attend, and participate in the entire retreat.
Expectations for Participants: With God’s help I covenant…. To fully participate in the programs of the retreat · Not to bring with me any of the following items: ·i-pods, CD players, PSP, cell phones ·Weapons of any kind ·Illegal substances: tobacco, drugs, alcohol ·To treat others and their property with respect and love ·To stay on camp property during the retreat unless previously arranged *
Electronic Signature (type your name)
Your answer
Submit
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