BSM Fall Retreat 2023 - Registration
September 22-24, Riverbend Retreat Center, Glen Rose TX, $60

• Enjoy two fun and relaxing days away from UTA

• Spend time with friends and connect with new people
 
• Stay in a beautiful retreat center along the Brazos River

• Worship God and hear practical Bible messages

• Bonfires, smores, good food, fun group mixers

• Free time to play, study, talk, relax or nap

• More info & online payment: http://www.utabsm.com/retreat

• Or pay by Venmo @utabsm

FILL OUT THIS FORM TO REGISTER FOR FALL RETREAT!
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First name *
Last name *
Mobile phone *
Email *
What year are you? *
Will you be at least 18 years of age by the start of Fall Retreat? *
Where do you attend college?  *
Do you have any special medical conditions we need to be aware of? (Only conditions that could present a medical emergency. We will respect your confidentiality. If you prefer you can simply email Gary. gary@utabsm.com)
CARPOOL GOING DOWN *
If you checked "NO" - When do you need to leave UTA?
CARPOOL COMING BACK *
If you checked "NO" - When do you need to depart from Riverbend?
DRIVING   (Trip is 60 miles each way. BSM reimburses drivers fuel if you take at least three riders.To drive you must have 1) a reliable automobile 2) valid driver’s license, 3) car insurance, 4) willingness to obey all traffic laws, follow the schedule and drive safely.) *
PAYMENT - Please pay online or at the BSM by Tuesday, Sept 20. Need to cancel? You must notify a BSM staff member before Tuesday, September 20. Online payment: https://mkt.com/utabsm *
What else do we need to know? (diet restrictions, travel issues, disability accommodations, etc.)
SIGNATURE: Please type your signature below to affirm the following statement: “I am registering for Fall Retreat.  I commit to pay the $60 registration fee. If I can not to go, I will cancel by Tuesday, September 19. I will not hold UTA BSM or Riverbend Retreat Center liable for any injuries resulting in my participation in Fall Retreat.” *
WAIVER OF LIABILITY: Please ype your signature below to affirm the following statement: "I wish to participate in these activities that are offered by the UT Arlington Baptist Student Ministry during the above-mentioned dates.  I acknowledge that there are risks in participating in this kind of trip and will not hold the UT Arlington Baptist Student Ministry responsible for any loss of property or personal injury associated with this trip. I understand that this is a drug, alcohol and tobacco free trip. I understand that the purpose of this trip is service and mission work and will work hard according to my abilities and respect the leadership on the trip. I understand that BSM is a Christian organization and agree to act for the duration of the trip according to Christian standards of conduct in, but not limited to, sexuality, speech, interpersonal relationships, and obedience to the law." *
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