Summer Retreat 2024
Steps to Register for Summer Retreat:

1. Complete this form

2. Payment
  • To hold your spot at Summer Retreat, a *non-refundable $97 deposit* is due along with your registration. You must have submitted your deposit by March 10th to receieve the early-bird price of $325. Upcoming 7th graders will continue to receive the early-bird price, regardless of when they register. The regular price is now $350.
  • Please make sure your deposit amount is $97, especially if you give through our Online Giving site. The odd amount helps us determine that the payment is for Summer Retreat and not a gift or tithe.
3. Complete the required forms. These can be found on the Summer Retreat main webpage.

Click here to go back to the main Summer Retreat page:

Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Gender *
Grade (Entering in Fall 2024) *
Parent Email *
Adult leaders, please provide your email.
Student Phone Number (If Applicable)
Adult Leaders - please provide your phone number.
Emergency Contact Name #1 *
Emergency Contact Phone #1 *
example: xxx-xxx-xxxx
Emergency Contact Name #2
Emergency Contact Phone #2
example: xxx-xxx-xxxx
Address *
T-Shirt Size (Adult Sizes) *
Allergies/Health Conditions *
Please list any allergies and/or health-related issues that we need to know about.
Medications
Please list any medications that will need to be taken at camp.
Guest of:
If someone invited you to Summer Retreat and you are a guest, please list the friend(s) who invited you!
Payment Option *
We have the option for you to pay your deposit and remaining balance online or through Venmo. You are also welcome to turn in cash or a check. If you need a scholarship, please indicate that below. We don't want finances to be what hinders a student from coming. Adult leaders do not need to pay.
By checking this box, I am agreeing to pay a $97 deposit to LBC for Summer Retreat. *
Required
Other Notes
Please keep in mind this form does not generate a confirmation email. Once you hit submit, you will see a paragraph that says "Thank you for registering for Summer Retreat!", that is your confirmation that the form went through.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lakeview Baptist. Report Abuse
Google Forms