wyr-registration

Winter Youth Retreat

Week #1 February 16-19, 2018 or Week #2 February 23-25, 2018

GROUP REGISTRATION FORM

Week #1 includes 3 nights lodging, 9 meals beginning with dinner on Friday and ending with lunch on Monday.
Early Bird registration price is $245 and ends 1-17-18. $265 after the 17th.
$50 non-refundable deposed due on or before Jan. 17th

Week #2 includes 2 night lodging, 6 meals beginning with dinner on Friday and ending with lunch on Sunday.
Early Bird registration price is $165 and ends 1-24-18. $185 after the 24th.
$50 non-refundable deposed due on or before Jan. 24th

Group Information

Week Attending:Week #1Week #2

Church Name:

Contact Name:

Church Address:

City: Zip:

Phone:

E-mail:

Number of Participants (Including Adult Sponsors) Male: Female:

Shirt Sizes

Adult: S M L XL XXL XXXL

* Please note - T-Shirt size is not guaranteed if registration takes place after January 24th, 2017

Payment Week #1 or #2

Week #1 Prices:

Early Registration

Before 1/17/18 $245

After 1/17/18 $265

Week #2 Prices:

Early Registration

Before 1/24/18 $165

After 1/24/18 $185

Payment Amount:

Payment Type:

Make checks payable to “CSBC”, include "Winter Youth" in the note field, and mail to:
Jenness Park Christian Camp
29005 Highway 108
Cold Springs, CA 95335

To pay by Credit Card:
Call Patricia: 1-800-258-7554 ext 101