Winter Retreat 27 Sign-Up

One parent or guardian fills this out for the whole family. Add every student and any adult who is coming along as a chaperone. It takes about five minutes.

Parent or guardian

We'll use this to send trip updates and reach you during the retreat.

Full name

Cell phone

Emergency contact

Someone we can call who is not going on the trip.

Full name

Relationship

Phone

Students

Chaperones

Adults 21 and older who will stay with the group. Skip this if no adults from your family are going.

No chaperones added.

Permissions

These cover every student listed above.

I authorize Bethel Baptist Church leaders to seek emergency medical treatment for my student(s) if I can't be reached.

Photos and videos of my student(s) from the retreat may be shared in church announcements and social media. (optional)

My student(s) and I agree to follow the retreat guidelines.

Type your full name as your signature

Anything else?

Bethel Baptist is covering the retreat cost this year, so there's nothing to pay.

Anything else we should know? (optional)

Students

Chaperones

You're signed up

Student

Chaperone