Camp Christian, Inc · 2024 Young Adult Retreat

Contact Information

Name

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First Name

Last Name

Gender

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Male

Female

Birth Date

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(mm/dd/yyyy)

Email

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Verify Email

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Mailing Address

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City

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State

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Zip Code

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Contact Number

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Contact number is

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Church Attending

Church City

Please list any food or medical allergies of which we should be aware.

Is this your first time attending an event at Camp Christian?

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Yes

No

Emergency Contact

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Please list someone who will not be at camp with you

Relation

*

Emergency Contact phone number

*

Any other information of which we should be aware?

I give my permission to Camp Christian for medical treatment to be administered in such case as deemed necessary by a trained medical professional. I accep and assume all risks associated with recreation activities, and I hereby release Camp Christian of all liability from injuries that might occur. I understand that I am responsible for providing my own insurance for any injuries taht occur while at Camp Chritian. I recognize that this event is for spiritual enrichment and I agree to attend all sessions. I release all photos, videos, and audio recordings to Camp Christian for promotional purposes.

Signature

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By typing my name above, I certify that I have read and agree to the above statements.

REGISTRATION FEES

A nonrefundable deposit of $20 is due with registration. Balance payable before or at check-in.

Registration

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$60 - Full Retreat

$20 - Saturday Only