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Event Registration
Back to Event Detail
High School Winter Retreat on Friday, January 10, 2020
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Price:
250.00
75.00 (deposit)
*
Attendee's First Name:
*
Attendee's Last Name:
*
Attendee's Email Address:
*
Attendee's Phone Number:
Country:
Afghanistan
Albania
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American Samoa
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Angola
Anguilla
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Antigua and Barbuda
Argentina
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Burma (Myanmar)
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Canada
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Central African Republic
Chad
Chile
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Christmas Island
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DE
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HI
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HS Winter Retreat, Jan. 10-12, 2020
$25 discount for early registration
Early Bird Discount
Qty
Price
Not Selected
Early Bird Discount
1
-25.00
1. If you wish a scholarship to go to camp, do not complete this registration at this time. Please request the scholarship first (see below link). Once you receive an email notifying you of any decision, then you may register.
2. You can request a scholarship here
scholarship application
.
*
Amount Paid with Registration:
-- Select --
$0 (Must have received a promo code via email to register without payment.)
$50 deposit (due to $25 Early Bird Discount)
$75 deposit (without early bird discount)
*
Scholarship needed:
-- Select --
Yes
No
*
Youth Gender:
-- Select --
Male
Female
*
Current Grade:
-- Select --
9
10
11
12
*
School:
Please let us know of any severe food allergy, allergies to medicine, special needs, or other medical concerns. If you don't wish to share medical concerns electronically, please contact Stefan Wiltz, Senior Director of Family Ministry directly 301-802-7443, so that we have the necessary confidential information to support the needs of your youth.
:
*
Parent email that will receive the packing letter and other trip updates.
If youth has a preference for roommates, please list. Youth are generally placed with those in the same grade.
*
Adult t-shirt size:
-- Select --
S
M
L
XL
Promo Code:
Add
Registration Total:
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