Kids Across America 2023 Youth Retreat PRE-REGISTRATION
Youth between the ages of 10 - 18 are invited to attend this year's Youth Retreat at:

Kids Across America
2036 Timberlake Road,
Branson, MO. 65616 
Sunday, July 30 thru Saturday, August 5, 2023.  

Chartered bus transportation will be provided and will leave the Kroger parking lot at 
4777 Kenard Ave, Cincinnati, OH 45232   at 3:00 am on the morning of July 30th.

The cost is $100 and spaces are limited.  Deadline to complete this pre-registration is May 31, 2023.
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Name of child #1 *
Age as of 7/30/23: *
Gender *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email address *
Medical Concerns (if none, type "none") *
Alterative Contact Name and Phone Number 
(in case of emergency)
 *
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