RegisterThere’s literally NO reason to wait… REGISTER NOW! :) Name * First Name Last Name Date of birth * MM DD YYYY Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Grade you’re entering Allergies? * Yes No Emergency Contact 1 * First Name Last Name Emergency Contact 1 Relationship * Emergency Contact 1 Cell # * (###) ### #### Emergency Contact 2 First Name Last Name Emergency Contact 2 Relationship Emergency Contact 2 Cell # (###) ### #### What church are you coming with? What else do we need to know about you? We’re curious… This is my first year! This is my second year! This is my third year! Want to be a small group leader? Please list if you’ve have any small group leader experience anywhere and why you want to serve. Guardian signature * To my best knowledge, all registration info listed above is correct. By electronically signing below, i give permission for my child to participate in all retreat activities. I agree that the retreat staff will not be held responsible for any lost or damaged personal property. I also grant permission for pictures/videos to be taken of the registered attendee. Thank YOU. We can’t wait to experience God with you.