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Chaperone Info Form
Hello! Thank you for choosing to chaperone for the RLCC Fresh Fire Youth Retreat 2024. Fill out this form completely. We will contact you about the chaperone meeting we will have on Zoom in May. The ratio of chaperones to youth is 1:5. If you have male and female youth, please make sure you have male and female chaperones. You must chaperone all days of the Youth Retreat unless you have made arrangements for a substitute who must also fill out this form.
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Email
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Your email
First and Last Name
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Your answer
Phone Number
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Your answer
Church Home
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Your answer
Pastor's Name
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Your answer
Age (you must be 19 and older)
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Your answer
How many youth will be attending from your church? (The chaperone/youth ratio is 1:5)
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Your answer
Based on the number of youth, is there another chaperone who will be attending with you? If so, please type their name. If not, put NA.
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Your answer
Have you already registered?
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Your answer
You will be required to sleep in the same quarters as those you bring (pending on gender). Are you okay with staying in the same cabin/dorm as the youth?
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Yes
No
Will you be attending the entirety of the youth retreat?
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Yes
No
If you will not be attending for the entirety of the Youth Retreat, please explain below. Also, list the name of your substitute chaperone and the day they will arrive. (They must be pastor-approved and not another chaperone already attending.)
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Your answer
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