Spring Folly Registration Form
Please fill in the following information and then follow-up with a payment (either e-transfer to bcmoes1@gmail.com, or mail cash or cheque to our registrar, Bethany Shantz at 21 Parker Ave. Sault Ste. Marie, ON P6B 1G6).
COST: Teens - $95; Youth Leaders - $25
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This is a registration for a... *
First Name *
Last Name *
Parent/Guardian/Emergency Contact's Name *
Parent/Guardian/Emergency Contact's Number *
Email *
Address *
City *
Postal Code *
Phone number *
Date of Birth *
MM
/
DD
/
YYYY
Biological Sex at Birth *
Health Card Number *
Doctor's Name *
Doctor's Phone Number *
Please List Any Medications
Please List Any Allergies
Please List Any Disabilities 
Youth Group Affiliation
Accommodations *
If you're staying with a friend, please provide contact information (Name, address, and phone number)
Use of Images - Photos and video are taken throughout the weekend. Please check to give your consent to the use of your image by Spring Folly for promotional purposes. *
Spring Folly Cooperation Agreement: We are happy to have you at Spring Folly and have prayed for your attendance. We hope you have a great time, make new friends and grow closer to God. To ensure an enjoyable weekend, we have a few simple rules:

-Be respectful to others and their property.

-If you break it, you pay for it.

-Alcohol, drugs and weapons are not allowed.

-You may not leave the grounds without permission.

NOTE: We can not be responsible for lost or stolen items. Please leave valuables at home.

I have read the above agreement and will abide by it. I understand that if I do not abide by these standards I may be sent home  *
Required
Parental Agreement: I give my permission for the above student to join the Spring Folly retreat and participate in all group activities.

In the event of an emergency, I authorize the leader of my child's youth group or a retreat leader in charge of medical care to consent to any x-rays, medical, dental or surgical diagnosis, treatment and hospital care as advised and supervised by an appropriate physician who is practising under the laws of Ontario. I expect to be contacted as soon as possible in the course of such an event.

I also understand that if my child is in breach of the student cooperation agreement, I may be required to pick them up from the retreat immediately.

NOTE: If you are a youth leader, you may check this box yourself.

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Required
PAYMENT:
-Teens - $95
-Youth Leaders - $25
Payment must follow submissions of this registration form in order to guarantee your spot at Spring Folly. You can pay in one of three ways:
1) E-transfer to bcmoes1@gmail.com (please include the name of the person the payment is for in the comment section).
2) Mail Cash or cheque to our registrar, Bethany Shantz at: 21 Parker Ave. Sault Ste. Marie, ON P6B 1G6
Please indicate below how you will be paying.
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