2018 East Columbus WyldLife Fall Weekend Online Registration
Where: Heartland Conference Retreat Center 3201 CR 225 Marengo, OH 43334
(740) 747-0220 www.heartlandretreat.com
The Heartland Conference Retreat Center is located right off Interstate 71 about 35 minutes
north of Columbus. It is only 28 miles from the Columbus 1-270 outerbelt.

How Much: $110.00 (NON REFUNDABLE); add $3 service fee if paying online.
Full payment reserves your spot! Please make checks payable to Young Life.
Online payments can be made HERE:
Cost covers lodging, 4 meals, 2 snacks, transportation and accident insurance.

When: October 26-28, 2018

What to Bring: Comfortable clothes that are warm, towels, soap, socks, shampoo, toothpaste, old sneakers, sleeping bag,
or blankets, “munchies,” and “sports stuff.”

Departure: Leaving around 7:00 p.m. Friday night
Leaders will let you know where to meet for the bus and exact departure time.

Return: Leaving Heartland around noon on Sunday
(Students will contact parents when they are close to home)

Who: Middle School students from around Columbus

We’d be glad to answer any or all other questions you might have. Everything we do with kids is open to parent observation and even involvement if you’re so inclined. If you would like further information, please contact the Young Life office. (614)-485-LIFE (5433). Or email us at eastcolumbus.younglife@gmail.com

Registration Options:
1. Fill out your registration form and bring payment to your Young Life leader
2. Send form and payment to the Young Life office: 3857 N. High St. Suite 302 Columbus, OH 43214
3. Sign up and pay online at eastcolumbus.younglife.org

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Insurance Company and Policy Number *
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Student Allergies
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Parent's Name *
Your signature below will acknowledge permission for your child to attend Fall Weekend and acceptance of Young Life's role in the medical care of your child. In case of emergency, I understand that every effort will be made to contact me. If I can not bee reached, I hereby give Young Life the permission to act in my behalf in seeking emergency treatment for my child in the event that such treatment is deemed necessary by Young Life. I give permission to those administering emergency treatment to do so, using those measures deemed necessary I absolve Young Life from liability in acting on my behalf in this regard.
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How will you be paying for your child's Fall Weekend trip?
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