2022 Blacklight Dodgeball Registration
October 9th
7-9pm
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This form is for registering a group.
Youth Group/ Church name *
It is required that each group have at least one adult leader per 10 youth.
Estimated number of youth *
Number of adult leaders *
Group leader's full name *
Leader's email address (We will send your registration confirmation and more information about the event to this address.) *
Primary phone number *
Please include any additional information you want to communicate to event leadership here
Event Cost: 
$50/group of less than 15 youth
$90/group of more than 15 youth
Balance is due on arrival. Checks can be written out to Woodcrest Retreat.
Please call the office with any questions at 717-738-2233
Woodcrest Retreat
225 Woodcrest Dr.
Ephrata, Pa 17522
Remind your youth to wear white or neon colored clothing to maximize the blacklight effect!
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