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Area Wide Retreat 2020 Sign-Up
This is for CURRENT 7th-12th graders.
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* Indicates required question
Child's Name
*
Your answer
Friend you're attending with:
Only answer this is you are not a member of ASM
Your answer
Grade
*
Only answer this is you are not a member of ASM
Your answer
Parent/Guardian Phone #:
*
List all that apply.
Your answer
Primary Emergency Contact
*
Your answer
Primary Phone Number
*
Your answer
Secondary Emergency Contact
*
Your answer
Secondary Emergency Contact Phone Number
*
Your answer
Current medication your child is currently taking:
This needs to be turned into Ryan prior to leaving so that he or a volunteer can ensure medication gets taken properly.
Your answer
Does your child have any allergies I need to be aware of?
Your answer
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