HS winter retreat 10a

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Registration Form
Name:
Address:
City, Zip:
Phone#:
Grade:
Current Medical Form Yes/No
Schedule Conflicts:
____________________
T-Shirt Size S / M / L / XL or XXL
______________________________________Has my permission to attend the 2010 Winter retreat,
with the Youth Group from FPC. While not being a perfect child, he/she agrees to follow all the
rules, obey leaders, and have a great time. If not, I would love to come up to the camp and drive
them home.
Parent Signature_______________________________________
Date_________________
Emergency Contact Number:
Things to know
1.January 15-18
2.Cost $185 and Deposit of $25 by Jan. 10th
3.Leave from the Church Friday at 6:00 PM
4.We return Monday at 1:00 PM
5.Things to bring (Sleeping Bag, proper
clothes, Hygiene products and any personal
things)
6.Financial aid is available
7.Friends are welcome
8.Need a Current Medical release form
9.Need a Ropes course permission form