2023 BIGFOOT Youth Retreat Registration Form

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When: February 17 - 20, 2023. Meet at CFCC Hayward (22416 Meekland Ave) on Friday.

Where: Redwood Glen (100 Wright Drive Loma Mar, CA 94021)

Cost (checks payable to CFCC Hayward):
Early Registration (11/27-12/17) - $125
Open Registration (12/18-1/14) - $150
Late Registration (1/15-1/29) - $200

Please hand checks to FP Counselors

STUDENT INFORMATION

Student's First Name *

Student's Last Name *

Gender *

Female

Male

Student's Email Address *

Student's Phone Number (format: xxx-xxx-xxxx) *

Grade *

T-Shirt Size (adult sizing) *

Is the student a Christian? *

Yes

Has the student been to church before? *

Yes

Is this their first time going to BIGFOOT? *

Yes

EMERGENCY CONTACT INFORMATION

Parent/Guardian Name *

Emergency Contact Phone Number *

Parent's Email Address *

Health Insurance Company (write N/A if none) *

Policy Number (write N/A if none) *

Any additional information/allergies in case of emergency (Write N/A if none) *

Do you need financial aid?

Yes

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