Group Registration for St. Augustine Presbytery's Fall Youth Retreat
This registration form is intended to be completed by a chaperone/leader for your church group. Please fill in the information as you receive it to maintain accurate attendance projections as we plan for this retreat. We want to ensure that we do not exceed capacity, and need your support for the most up to date information.

"On the Way"

Join us October 6-8, 2023 for the Presbytery of St. Augustine's Fall Youth Retreat! 

All 6th to 12th graders are welcome to attend Camp Montgomery for a time of fellowship, camp activities, and late night campfires!

All are welcome! Please coordinate with your local church to complete registration. Adult chaperones are required for all groups. The suggested ratio for this retreat is 1:8.

Youth Participants: $135
Adult Chaperones: $85

Scholarships are available! Contact tiffanylamotte@firstpresfb.org for information on youth scholarships.

Checks can be mailed to:
Montgomery Center
88 SE 75th St
Starke, FL 32091

Or call the office at 352-473-4516 to make payment(s) by card.

Instructions: Make a copy or download to Excel to complete your group's roster, then email an editable file (no PDFs) to program@montgomerycenter.org 

Instructions: Print one form for each participant (youth and adults). Sign and submit to Montgomery at check in.
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Email *
Church or Group Name *
Group Contact Person *
Contact Phone Number *
Contact Email Address *
Church: Street Address *
Church: City, State, Zip *
Expected Size of Group including Chaperones  (update as you receive registrations) *
Current number of Female Leaders (update as you receive registrations) *
Current number of Female Youth (update as you receive registrations) *
Current number of Male Leaders (update as you receive registrations) *
Current number of Male Youth (update as you receive registrations) *
Lodging Preference for your Group (*no guarantees can be made - final lodging assignments will be determined after registration closes on September 22nd depending on group size/needs) *
Required
I have received the digital Group Roster to fill out and turn in to Montgomery by September 22nd (as an editable document) in order to receive T-shirts for my group. *
Required
I have received the waiver forms to be printed, signed, and turned into Montgomery upon arrival for each person attending. *
Required
I understand that registration closes on September 22nd. After September 22nd, I will need to reach out to Montgomery for any last minute registrations to check availability.  *
I understand that my group is responsible for collecting and bringing all necessary medical forms, emergency contact information, and the administering of any prescribed medication for everyone in our group. I also understand that my group is responsible for bringing first aid supplies and the administering of those supplies if needed.  *
*I release all rights to any photos or video tapes made of the minors in my group or myself for public relations or camp promotional purposes. Please indicate on the group roster that is turned into Montgomery any individuals that this statement does not apply to. *
A copy of your responses will be emailed to the address you provided.
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