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Oakwood Restoration Branch
Oakwood Restoration Branch
Zion’s Older Youth Retreat 2021
2021.03.12-15 Spring Zion Youth retreat registration form
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Camper's Name
*
Branch
Address
*
Email
*
Phone Number
*
Adult sized t-shirt size
Parent or Guardian
Parrent Address if Different from your own
Emergency Contact Phone
*
Health Insurance Information
*
Health Information Company
*
Group Insurance Number
I give my camper permission to attend Zion's Youth Camp, and the retreat staff has my permission to provide or seek any medical care should it become necessary.
Guardian Signature
*
Typing your name in this box acts as a valid signature.
Known Allergies, and Medications currently taken.
I will abide by the retreat rules and respect the Retreat Staff's choices and decisions during the weekend. I will exhibit good Christian conduct.
Camper's Signature
*
Typing your name in this box acts as a valid signature.
Phone
Submit