Date: Friday, August 1 - Sunday August 3

Time: 3:00 PM on Friday - 10:30 AM on Sunday

Location: TBA

Fee: $170 per student ($160 sibling discount)

Notice: Please bring bible, journal, warm jacket/outwear, extra clothes, toiletries, and sleeping bag / air mattress

Student #1 Name

First Name

Last Name

Phone # / Parent Phone #

(###)

###

####

Student #1 T-Shirt Size

Student #2 Name

First Name

Last Name

Student #2 T-Shirt Size

Student #3 Name

First Name

Last Name

Student #3 T-Shirt Size