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Fall Retreat
Group Registration for Students

This form is to be filled out by the group representative only!

Student Information

Group Leader Information

Church Information

Medical Information and Waiver



Waivers and Releases

I have received the following documents and I agree to all terms....

*paintball is an additional charge

Select add-ons for this student

These items will be included on the invoice to the church

By signing below you certify that you have been appointed by the Pastor as the group representative for this church.

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