Fall Retreat 2022 Registration
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Welcome to Online Registration (OPENED ON JULY 13th)
By registering your student through our online registration, you reserve their spot for Fall Retreat 2022.
Are you interested in being a Chaperone for Fall Retreat 2022???
If you are interested in being 1 of our Adult Chaperones for Fall Retreat 2022 please click on the link provided below to go to our Chaperone Registration page.

We appreciate our adults who volunteer their time to go on our trips and love on our students.  Because of this there is no event cost for our Parent Adult Chaperones, although donations are accepted if you wish to do so!  For our Non-parent and College Adult Chaperones, we offer a discounted price of $15.00.

Thank you for being Jesus to our students and showing them the way of Christ.

https://forms.gle/99Uc3QhdgLDyApe88
Helpful Information
What: Fall Retreat 2022

When: October 14-16, 2022

Where: Taylor Christian Camp

487 Booker Rd
Holland, KY 42153
270-622-9032

Youth Minister Contact Information:

Michael Rector at Fairlane
fairlaneym@gmail.com
615.574.0306 (cell)

Cost & Deadlines: $35.00 by August 28, 2022 and $50.00 by September 18, 2022.

***Scholarships are available for this event. Please contact Michael Rector for more details***

3 steps you must complete:
1.) Complete the Online Registration
2.) Turn in a current Medical Release Form
3.) Make your payment to the Church you are attending with via cash or check.
Begin Online Registration
Please have a parent/guardian complete this registration process.
Which church are you attending Fall Retreat with? *
Required
Are you a Member or Visitor of the church that you are attending with? *
Required
If you're a Visitor, who are you attending this event with?
Last name, First name
Rooming request
Who is one person that you would like to room with, if possible?
Teenage Participant Name *
Last name, First name
Parent Full Name *
Last name, First name
Parent Email Address *
Valid Email
Parent Phone Number *
Valid Number
Parent Address *
Full Address
Teenage Participant Age *
Current Age
Current grade of the Teenage Participant *
Required
T-Shirt Size *
If we work it out to get T-Shirts for this event, what size would your teenage participant prefer?
Required
Do we have a current Medical Release Form on file for your Teen? *
Not sure?  Check with Michael Rector
Additional Information *
Is there any other information you'd like us to have that wasn't included in this registration process?
Submit
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