Winter Retreat Registration

Church Registration Form - 2020

Meltdowns & Jr. FreezeOuts
This form is a church/group registration form. Individuals should contact their church to register, please do not use this form. Thank you!
Choose your Retreat: *
Contact Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Church & Church City *
Please include your church city!
Number of Girl Campers *
(If none, enter a zero)
Number of Boy Campers *
(If none, enter a zero)
Number of Girl Counselors *
(If none, enter a zero)
Number of Boy Counselors *
(If none, enter a zero)

T-Shirt Order Form!
Each camper & counselor gets a free t-shirt, if registered by the deadline!
Please choose your shirt sizes!
Youth Large
Adult Small
Adult Medium
Adult Large
X-Large
2-XL

Payment: Please be sure to enter the "quantity" for campers & counselors! *

Two Day Retreat - Counselors $ 25.00

Quantity

Two Day Retreat - Campers $ 55.00

Quantity

Three Day Retreat - Counselors $ 35.00

Quantity

Three Day Retreat - Campers $ 70.00

Quantity

Total $ 0.00

Church Registration Form - 2020