Youth & Confirmation Winter Retreat

Join us for a weekend filled with activities, lessons, and worship.

Registration is open – Please sign up today!

Prices: $130 – Student (6th-12th)
$150 – Senior High (9th-12th) + Bonus Laser Tag Field Trip
$80 – Adult Chaperone
Prices will increase $30 after Feb. 3.

Name *

First

Last

Gender *

Male
Female

Participant Type *

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Age *

T-Shirt Size *

Medical Forms *

I have a 2019 medical form on file
I do not have a 2019 medical form on file

If you do not have a current 2019 medical form on file, download it here and bring it by the office, email it to us, or upload it below. http://www.fumcrockwall.com/youth-medical-release-form/ (copy and paste into browser)

Medical Form

Are there any relevant medical conditions or allergies we should be aware of? *

Dropdown Items *

Retreat Registration payable via cash or check brought to the Church or Youth Office, or by PayPal credit card payment available after submitting registration.

Phone