Christ Covenant Church

word. - Parent/Student Middle School Fall RETREAT 2010

Our fall Word Retreat will be held at Camp Longridge, in Ridgeway, SC, the weekend of September 17-19. Camp Longridge offers plenty of activities: swimming, waterslide, zip line, canoes and boats, putt-putt, sports fields and gym, paintball, and a high ropes course. Click here to download the flyer.

Come as early as 5:30 on Friday. Dinner will be served at 7. You’ll be home on Sunday in time to eat lunch with your family.

Sign up now! If your family is unable to come because of a younger sibling or financial reasons, please talk to Matt (704-708-6117) or Corrie (704-708-6119).

Please fill out the information below to register.

Participant #1
Grade
Gender		Male Female
Choose one		Parent Student

Participant #2
Grade
Gender		Male Female
Choose one		Parent Student

Participant #3
Grade
Gender		Male Female
Choose one		Parent Student

Participant #4
Grade
Gender		Male Female
Choose one		Parent Student

Participant #5
Grade
Gender		Male Female
Choose one		Parent Student

Address
City/State/ZIP
Phone Number

Parent email

Additional contact info		If any contact information is different for participants, please enter additional information below.

PAYMENT INFO

$85 per person
Third family members and beyond are half-off.
*The cost is non-refundable and includes two nights' lodging, five meals, snacks and activity expenses. The cost does not cover optional activities: high ropes (add $15) or paintball (add $17).

You will be given the option to pay online using Paypal after submitting this form. You are strongly encouraged to pay online. If you are unable to pay online, please talk to a youth staff member.