Winter Youth Retreat - Saturday, February 19
Please use this form to begin the registration process. After receiving your registration, we'll reach out to you via email with more information about permission forms, medical waivers, payment options (approximately $30 per youth), and other details for the event.

If you have any questions or concerns, please contact Becka Fergusson-Lutz at program@campwhitman.org.
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Name of Participating Youth *
Mailing Address of Participating Youth *
Participating Youth's Grade Level *
Email of Participating Youth
Any dietary restrictions?? *
Name of Youth's Parent/Caregiver *
Email Address for Youth's Parent/Caregiver *
Phone Number of Youth's Parent/Caregiver *
Affiliated Church or Organization (if applicable)
Leader/Coordinator from Church (if applicable)
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