2020 Confirmation Retreat Registration
Please complete the form below for each church group or individual participant attending

Registration is not complete until payment is made to Camp Lake Stephens at:


117 Camp Lake Stephens Drive, Oxford, MS 38655


Health and Release forms must be completed and turned in for all participants, including adults, prior to the start of the event.

Early-bird Deadline: December 13th – $110 per person

Final Deadline: January 16th – $140 per person

For more information about the retreat, please visit our website:
www.camplakestephens.com

Please send any questions to our Assistant Director:
jeff@camplakestephens.com
Name of Participant or Church Group Attending *
Your answer
Name of Participant's Guardian or Church Group Leader *
Your answer
Email *
Your answer
Home or Church Address *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Number of Male Youth Attending *
Your answer
Number of Male Adults Attending *
Your answer
Number of Female Youth Attending *
Your answer
Number of Female Adults Attending *
Your answer
Roommate Requests
Your answer
How did you hear about this years retreat? *
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