Youth Winter Retreats

SMBC Youth Winter Retreat:
Resistance
Dec 30, 2023 - Jan 1, 2024
Check-in is from 9 am - 10 am on Saturday
Meals included: Saturday lunch through Monday breakfast
Dismissal is approximately 11 am on Monday
Theme shirt included
$130 per person

Church Information

Church Name*

Church Phone Number

Contact Name*

Contact Phone Number*

Email*

Retreat Date:

Dec 30, 2023 - Jan 1, 2024

Would you like to to receive the registration packet by e-mail or postal mail?*

E-mail only
Mail to the church
Mail to my address

Mailing Address (optional)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Camper Information

Number of campers attending

*Note: Chaperones are required at a ratio of 1 adult per 6 campers. Coed groups REQUIRE coed chaperones.

Female Campers*

Female Chaperones*

Male Campers*

Male Chaperones*

Total*

Deposit Information

A deposit of $50 is required for each person (campers & chaperones) to confirm your reservation by September 15, 2023.
This deposit is NOT refundable under ANY circumstance.
One deposit is applied to each camper fee, extra deposits may NOT be applied to a group's balance.
Deposits may be made with check or money order payable to:

South Mountain Baptist Camp
3558 Baptist Camp Rd
Connelly Springs, NC 28612

I have read, understood, and agree to the registration policies listed on this form.*

Yes

Authorized Church Representative's Signature*

Printed Name*

After you submit your request below, Sara will be in touch by e-mail about retreat availability and paperwork!

Youth Winter Retreat Registration

Church Information

Camper Information

Number of campers attending

Deposit Information

Certifications

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