NCM Fall Retreat 2026
November 6-8, 2026 | Please fill out this form and click submit.
Name
*
Sex
*
Please select one option.
Male
Female
Email
*
This address will receive a confirmation email
Phone
*
Campus Region
*
Please select all that apply.
Seattle (Puget Sound)
Pullman
Central Washington
Portland
Eugene
Emergency Contact Name
*
Emergency Contact Phone Number
*
Insurance Company
*
Policy Number
*
Are you over 18 years old?
*
Please select all that apply.
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 understand that I MUST pay my NCM campus minister on or before October 31, 2026.
*
Please select all that apply.
I have read and acknowledge that I must pay my NCM campus minister before the deadline, or risk not being allowed to attend Fall Retreat.
Submit
Description
November 6-8, 2026
Please fill out this form and click submit.
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