Winter Retreat 2022 Registration
Please use this form to register for the St. John's Youth Winter Retreat, January 15-17, 2022

This form must be filled out SEPARATELY for EACH person registering for the retreat.

Because this form includes Permission and Waiver sections:
+ for Youth participants, it MUST be filled out by a parent or legal guardian.

If you need to see the form with all the details about the retreat, it can be found here:
www.SJBft.org/WinterRetreatInfo


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FIRST, we need information about the person who is FILLING OUT this form:
First and last name of person who is FILLING OUT this form. *
For a child or youth, this MUST be a parent or guardian. For an adult participant, this should be the participant.
Email address of person filling out this form. *
Phone number of person filling out this form *
A cell phone number is preferred, if possible.
Is this phone number is a cell phone number AND can texts be sent to it? *
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