Youth Retreat 2025

“MIDNIGHT”

September 5th - 7th at Refreshing Mountain!

Price: $160/person

Name

First Name

Last Name

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Date of Birth

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Address

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Address 2

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Have you paid the $160?

If you are under 18 years old, fill out the rest

Name of Guardian

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I authorize my child to attend the Youth Retreat at Refreshing Mountain Campground on September 5th-7th.

Yes

No