Middle School Retreat Registration

MIDDLE SCHOOL RETREAT

Recharge Middle School Retreat
Who: All 7th-8th grade students
Where: Silver Birch Ranch, White Lake, WI
When: October 7-9, Leave PAC Friday at 4pm, return to PAC Sunday at 1:30pm)
Cost: $140 per student ($125 for retreat itself, $15 to offset travel costs).
What: Biblical Teaching, Worship and super fun activities including:
Climbing Wall, Horseback Riding, Mini Golf, Archery, Paintball ($5 per hopper), BB Gun Range, Dodgeball, Floor Hockey, AND MORE!
- SPEAKER: Scott Byers

Scott Byers is a follower of King Jesus, a husband to his best friend, Nora, and a father to three energetic little boys! He graduated from Moody Bible Institue with his B.A. in Bilcial Studies & Youth Ministry, and is currently
pursuing his M.Div from Bethlehem Seminary in Minneapolis. Before joining the Family Ministry staff at the North Campus of Bethlehem Baptist Church, Scott served as a Pastor of Family Ministries in the Des Moines, IA area.
He loves reading, writing, traveling, coffee, pick up basketball, cheering on the Hawkeyes (most days), and seeing students and families come alive to the gospel of Jesus Christ.

Retreat Registration Form
(Deadline Friday, September 30th)

* 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 Friday, September 30th.

Special Instructions or Needs? *

Submit

MIDDLE SCHOOL RETREAT

Retreat Registration Form(Deadline Friday, September 30th)

Retreat Registration Form
(Deadline Friday, September 30th)