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Fall Retreat 2022

October 7, 2022 @ 5:00 pm - October 9, 2022 @ 11:00 am

Fall Student Retreat

Legacy Retreat Center

Homer GA

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Fall Retreat 2022

Attendee Name*
First Last
Phone*
Address*
Street Address City State ZIP Code
Birthday*
Gender*
T-Shirt Sizes*
Parent/ Guardian Name*
First Last
Parent/ Guardian Email*
Parent/ Guardian Phone*
Attendee Insurance Information:*
Medical / Allergy Information Insurance Company Insurance Policy No Insurance Preauthorization Required YES or NO
Media Release*
I give permission and consent to allow photographs or videos to be taken of my child/camper during the camp. I further understand that the use of any such photographs or videos may be used on social media sites promoting or reporting on the camp.
- Yes
- No
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Details

Start:: October 7, 2022 @ 5:00 pm
End:: October 9, 2022 @ 11:00 am
Event Category:: PC Youth

Venue

Legacy Retreat Center

1803 Wilson Bridge Road
Homer, GA 30547 United States + Google Map