wyr-registration

Winter Youth Retreat

Week #1 February 16-18, 2019 or Week #2 February 22-24, 2019

The student to adult ratio is for every 8 students there must be 1 adult.

GROUP REGISTRATION FORM

Week #1 includes 2 nights lodging, 6 meals beginning with dinner on Saturday and ending with lunch on Monday, which is President's Day.
Early Bird registration price is $169 and ends 1-17-19. $189 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 $169 and ends 1-24-19. $189 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, 2019

Payment Week #1 or #2

Week #1 Prices:
Early Registration

Before 1/17/19 $169

After 1/17/19 $189

Week #2 Prices:

Early Registration

Before 1/24/19 $169

After 1/24/19 $189

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 Candace: 1-800-258-7554 ext 101