SEED Youth 2022 Summer Retreat Registration
"NEWS WE NEED"

Dates: July 22, 2022 - July 24, 2022
Location: Forest Home at Ojai Valley (https://www.foresthome.org/ojai/)

Early registration: June 12 to July 3. $200 per person
Regular registration: July 4 to July 20. $220 per person (sibling discount $200)
Registration ends July 20.

Please register each student separately.
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Student Name (First, Last) *
Student Grade (Completed in school year 2021-2022) *
Student Gender
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Student Date of Birth
MM
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DD
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YYYY
Student Address
Student T-Shirt Size (adult size) *
Mother's Name
Mother's Phone Number
Father's Name
Father's Phone Number
If there is another emergency contact other than parents, please indicate name, phone number, and relationship here.
It is important that we keep every student and staff healthy and safe during the retreat. For this reason, we will require all attendees including students and staff to be fully vaccinated. Please let us know your child's vaccine status. We ask you to submit a copy of your child's vaccine card to complete registration.
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List any food or medical allergies.
If you have any special prayer requests for your student, please share. It will be kept confidential among the retreat staff who will dedicate prayer time for the students.
If there is anything else you would like to share about your student, please let us know. We will do our best to accommodate any special needs or requests.
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