Velocity Retreat Sign Up

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Sign Up/Permission Slip
September 13-14
Location: Bath, NY - Christian Camping Services
christiancampingservices.com
Departing Central Baptist Church at 4:00 P.M. on the 13th.
Arriving at Central Baptist Church at 7:30 P.M. on the 14th.
Costs $10 per person due at Departure on September 13th.

First Name *

Last Name *

Are you in a fall sport? (Volleyball, Soccer, etc.) If yes, you still have the option of coming later. *

Yes

Will you be bringing prescription medication on the retreat? *

Yes

Please list any food allergies you have. *

Parent/Guardian Name *

Parent/Guardian Phone Number *

By checking this box you are giving your teen permission to go to the Velocity Retreat and are saying that the church will not be held liable for any possible injuries. *

I Agree

Required

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