2024 Fall Retreat

Name

This address will receive a confirmation email

Phone

Metro Area

Central Washington Eugene Portland Pullman Seattle

Emergency Contact Name

Emergency Contact Phone Number

Insurance Company

Policy Number

Are you over 18 years old?

Yes No

If you are not yet 18, do you have permission from a parent/guardian to come to Fall Retreat? Have them type their name as a virtual signature that you may stay with us.

Please list any dietary restrictions.

I recognize I MUST pay my campus minister before October 24, 2024

I have read and acknowledge that I must pay my campus minister before the deadline, at risk of not being allowed to come to Fall Retreat

Description

November 1-3, 2024

Please fill out this form and click submit.

2024 Fall Retreat

Description

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