Middle School Retreat Registration

MIDDLE SCHOOL RETREAT

Who: All 7th-8th grade students
Where: Silver Birch Ranch, White Lake, Wisconsin
When: October 25-27
Cost: $140 per student
What: Bible Teaching, Powerful Worship, Climbing Wall & High Ropes Course, Horseback Riding, Mini Golf, Archery, Paintball ($5 per Hopper), Dodgeball, Endless PB&J.

Speaker: Heather Flies, from Wooddale Church in Eden Prairie.

Retreat Registration Form
(Deadline Wednesday, October 16th)

* Indicates required field

Student Name #1 *

First

Last

Select Student #1's Current Grade *

Student Name #2 *

First

Last

Select Student #2's Current Grade *

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Medical Release Form *

I have already completed one I will complete and return by mail: 1203 Fairview Drive, Plymouth, WI 53073 I will complete and bring it along

Click HERE for a printable Medical Release Form

Payment may be submitted by check or cash. *

I will mail or drop off payment to church office within one week of registration: 1203 Fairview Drive, Plymouth, WI 53073

*Registration will not be considered complete until payment is received. Registration deadline is Wednesday, October 16th.

Special Instructions or Needs? *

Submit

MIDDLE SCHOOL RETREAT

Retreat Registration Form(Deadline Wednesday, October 16th)

Retreat Registration Form
(Deadline Wednesday, October 16th)