Fall Retreat Sign up
Please fill out this form for your student to be signed up to go on our fall retreat to Camp Ao-Wa-Kiya. Please remember that in order for that person to be fully signed up, you must have your $20 handed in to Pastor James. Please contact him if there are any financial burdens.
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Email *
How many students are you signing up? *
What are the names of said student(s)? *
Who is filling out this form? *
What is your relationship to the student(s)?
Are there any allergies that we should be aware of? *
Who can we call in the case of an emergency? (please include the phone number in the description) *
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