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Student Ministry Fall Retreat 2019
Destination Unknown (aka DU)
Fri. Nov. 15th - Sun. Nov 17th
Registration/Payment Form
(additional retreat forms will be required)
Student's Name:
First Name
*
Last Name
*
Grade
*
Sweatshirt Size
*
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Additional Student's Name(s):
First Name
Last Name
Grade
Sweatshirt Size
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
First Name
Last Name
Grade
Sweatshirt Size
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Parent/Guardian Name:
First Name
*
Last Name
*
Email
*
To Register For This Retreat
Cost is $150 per student
Deposit:
$50 due by Sunday, October 6th (to secure your student's spot)
Balance & Paperwork
: due by Sunday November 3rd
Deposit Payments (select one):
I will bring a check to church
Deposit - one student ($50.00)
Deposit - two students ($100.00)
Deposit - three students ($150.00)
Balance Payments (select one):
I will bring a check to church
Balance - one student ($100.00)
Balance - two students ($200.00)
Balance - three students ($300.00)
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