CORE Retreat
This is the registration for Campus Life's CORE Retreat.

When:   November 22-23, 2019 (Leave at 4 PM on Friday, Return at 9 PM on Saturday)

Where:    Rock Lake Bible Camp

Price:    $25

Departure/Arrival Location:   The Campus Life Office (5222 Dumond Ct., Lansing, Mi 48917)
Sign in to Google to save your progress. Learn more
Code of Conduct
Our desire is to provide the best possible atmosphere throughout the trip. Students are expected to cooperate with staff at all times and to participate in all scheduled activities.

Possession and/or use of alcoholic beverages and/or any type of drugs (including vaping)  is strictly prohibited. Failure to remain within these guidelines at any time is cause for the student’s immediate to return home at the parent’s/guardian’s expense.

We have read the code of conduct and agree to abide by it.
Parental/Guardian Permission
I agree not to hold CAMPUS LIFE responsible for any injury that may result from my son’s/daughter’s participation in the CORE Retreat - November 22-23, 2019.

I also authorize CAMPUS LIFE STAFF to secure any emergency medical treatment necessary during the trip and I further assume all responsibility for the decisions so made.

I hereby grant permission to CAMPUS LIFE the right to use, reproduce, and/or distribute any photographs, film, video-tapes and sound recordings of my child.
Name *
of Student (First and Last Name)
School *
Student's Cell: *
Grade *
Gender *
Reminder for Medical Information
Students must have the 2019-2020 Medical form completed before attending any Campus Life trip or event. Once completed, it covers all events/trips Campus Life may take during the 2019-2020 school year.

To complete this form, click the following link:     https://forms.gle/FuFpSab8JV1u3Xro9
Payment
I understand I am responsible for making full payment for CORE Retreat by midnight on Friday, November 15th, 2019.

Price:   $25

Payments can be made online at:     https://secure.acceptiva.com/?cst=ae139c

Checks can be made out to Lansing Campus Life and sent to:

5222 Dumond Ct.
Lansing, Mi 48917
Parent/Guardian Signature *
(First and Last Name)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lansing Youth for Christ. Report Abuse