Lake Champion Youth Retreat Early Reg. 2018
Lake Champion Youth Retreat Early Reg. 2018
Please join us April 27 through 29 for the Lake Champion Youth Retreat. We plan to leave early in the afternoon from VVAC (details to follow). Please bring money for fast food that evening. In addition, please bring money for food on the ride home. We will be arriving back to VVAC later in the afternoon on Sunday. For more information, see the brochure which is available on the Youth Bulletin Board.
Youth 1 Name  * 
Youth 2 Name
Youth 3 Name
Address  * 
City  * 
I give permission for my son/daughter to attend the Lake Champion Youth Retreat from April 27-29. I also give permission for him/her to receive first aid/medical care should an emergency arise and I expect to be notified as soon as possible. I hereby release VVAC, its staff and leaders, from responsibility and liability from any injury or illness that my child may sustain during the entirety of this event. Please type in your name to note that you understand this release.  * 
If you have not done so, please update your child's medical info for 2018 (under Register for Events). This info is necessary for your child to attend SURGE events.
Parent's Names  * 
Emergency contact number  * 
Early Bird Registration (Feb. 5 through Mar. 15, 2018)
Your Email Address  * 
Total $
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