Middle School Retreat Registration

MIDDLE SCHOOL RETREAT

Recharge Middle School Retreat
Who: All 6th-8th grade students
Where: Silver Birch Ranch, White Lake, WI
When: October 29-31, Leave PAC Friday at 4pm, return to PAC Sunday at 1:30pm)
Cost: $120 per student ($110 for retreat itself, $10 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: ERIC LASHBROOK, Pastor of Student Ministry at Eagan Hills Church in Eagan, MN,
- BAND: OUT OF DUST, a Christian Alt-Rock band dedicated to spreading the hope and love of Christ through music.

Retreat Registration Form
(Deadline Monday, October 25th)

* Indicates required field

Student Name #1 *

First

Last

Select Student's Current Grade *

Student Name #2 *

First

Last

Select Student'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 Monday, October 25th.

Special Instructions or Needs? *

Submit

MIDDLE SCHOOL RETREAT

Retreat Registration Form(Deadline Monday, October 25th)

Retreat Registration Form
(Deadline Monday, October 25th)