2024 Spring Youth Retreat Registration Form

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2024 Spring Youth Retreat Registration Form

Please complete this form to register for the SCAFO Healthy Youth Program Spring Retreat on May 24-25, 2024.

We will be going to His Heart Oasis Retreat Center in Vancouver WA.

There is a pool at the lodge and lots of fun and games!

Registration is first come first serve--spots are limited!

Questions: Contact Chuck Smith
503-502-2965
charles@sicklecelloregon.org

Youth Name *

Youth Email (if available)

Youth Phone Number (if available)

Youth Age *

Youth Gender *

Female

Male

Non-Binary

Other:

Youth Race

Asian

Black

Hispanic

White

Other:

Clear selection

Parent Name *

Parent Address

Parent Phone *

Parent Email *

I (youth) will be attending the retreat on May 24-25 *

Yes

Parent will be attending the retreat on May 24-25 *

Yes

Submit

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