2020 HS Retreat (Spring) - Guys - WAITING LIST
Camp Joy in Kelly Park • February 28 - March 1 • 5PM Friday - 2PM Sunday

GUYS WAITING LIST FORM

COST: $70 per student. DO NOT PAY UNTIL CONTACTED WITH A SPOT.

STEP 1: Please complete one registration form per student.

YOUTH INFO
**used for communication and confirmation emails - check for typos**


ADDRESS


PARENT/GUARDIAN INFO
**used for communication and confirmation emails - check for typos**


YOUTH MEDICAL INFO

leave blank if none.


TIME AWAY
leave blank if none.


*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for EPIC and University Carillon use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).



*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

  • I have read and understand the above information. The information I have given EPIC and University Carillon is accurate and true to the best of my knowledge.
  • My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.
  • I understand, no refunds are available for this event; to keep event fees low, we purchase supplies for many of our events well in advance.
Due upon registration.


When this form is processed, you will receive a confirmation email with payment instructions. Thank you!