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TRANSCRIPT
FIRSTWOODWAY
JUNIORHIGH
PINECOVERETREAT
2014
PINE COVE 2014REGISTRATION FORM / APRIL 25-27
Attention All Junior High!
Details of the Trip:
Space is Limited!That means you need to get your $25 deposit in ASAP. When the spots are gone, they’re gone. Just fill out the registration form at the bottom of this page and return it with your deposit to anyone on our staff. Don’t miss this one. For more information, call the Youth office at 772-9696 or email us at [email protected]
NAME GRADE AGE BIRTHDAY M/F
ADDRESS CITY/ZIP PHONE
ARE YOU A MEMBER OF FBC WOODWAY IF NOT, WHERE
PARENT/GUARDIAN’S NAME PHONE
PHYSICIAN’S NAME PHONE
MEDICAL INSURANCE POLICY NUMBER
PLEASE LIST ANY MEDICATIONS THAT YOU WILL BE TAKING WHILE ON THIS TRIP:
OTHER PERTINENT MEDICAL INFORMATION:
Medical Release:I hereby give authority to Bob Johns or a trip sponsor to secure any necessary medical treatment in the event of an emergency due to sickness or accident while on this outing. I understand that our family physician will be contacted, if possible, but in the even that he cannot be reached, the counselor in charge may choose a reputable physician.
SIGNATURE OF PARENT/GUARDIAN DATE
fbcwoodway youth
LIST TWO FRIENDS WHO YOU WOULD LIKE TO ROOM WITH.... WE GUARANTEE YOU WILL BE WITH AT LEAST ONE OF THEM
FRIEND 1 FRIEND 2
The cost is $135. This includes transportation, food, lodging, and activities. You will get a participant letter in the mail with more information.
We are heading back to Pine Cove April 25-27 to be a part of an annual Jr. High Retreat. It is going to be stinking sweet! Horseback riding, zip-lines, guest speakers, worship, skits, commando, and much more! This is sure to be a great weekend to spend worshiping God with your friends. Pay your $25 deposit and return with this form to register for this awesome weekend! Spots are limited...trust us on this one. You DON’T want to miss it!