Spring 2023 Youth Retreat Master Sign Up Form

Contact for Parent or Guardian Completing Form

Name

Email address

This address will receive a confirmation email

Phone

Address

Youth Retreat: $115/attendee ($270 family max)

Please calculate how much you owe based on the information listed above, and enter it in the "Payment" field.

1 youth = $115
2 youths = $230
3+ youths = $270

Payment

Drop off & Pickup

Drop off at Camp Westminster at 5:30 PM Friday, March 10th. Pick up at Camp Westminster at 5 PM Saturday, March 11th.

Check in with Elyse when you arrive and check out with Elyse or Andy before you leave.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.