Spring Retreat Sign-up

Cost of camp is $50. Cash or check can be delivered to TJ anytime before we leave for camp or at drop-off. Checks can be made out to Church on the Rock Michiana.

First Name

Last Name

Gender

Birthdate

Grade

Phone Number

Allergies

Who do you want to bunk with? (2-3)

Emergency Contact Info

First Name

Last Name

Phone Number

Relation to student

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