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Fall Retreat
Group Registration for Students

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

Student Information

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Group Leader Information

Church Information

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Medical Information and Waiver

Allergies

Medications

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

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

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