2023 Confirmation Retreat Registration
Please complete the form below for each church group or individual participant attending

Registration is not complete until payment is made to Camp Lake Stephens at:


                         117 Camp Lake Stephens Drive, Oxford, MS 38655


Health and Release forms must be completed and turned in for all participants, including adults, prior to the start of the event.

Deadline: January 21st – $120 per person

For more information about the retreat, please visit our website:
www.camplakestephens.com/confirmation

Please send any questions to our Assistant Director:
jeff@camplakestephens.com
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Name of Participant or Church Group Attending *
Name of Participant's Guardian or Church Group Leader *
Email *
Home or Church Address *
Emergency Contact Name and Phone Number *
Number of Male Youth Attending *
Number of Male Adults Attending *
Number of Female Youth Attending *
Number of Female Adults Attending *
How did you hear about this years retreat? *
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