CSM SR SPRING Retreat 2025

STUDENT INFORMATION

Student Name

Student Cell Phone (if applicable)

Student Email (if applicable)

This address will receive a confirmation email

Date of Birth

Grade

9th 10th 11th 12th

Shirt Size

Small Medium Large X Large

Address

Does your student have any allergies we need to know about?

Please list any allergies here:

Does your student have any medications they will need at camp?

Please list any medications, dosages, and timing requirements here:

PARENT INFORMATION

Parent Name

Parent Phone

Parent Email

This address will receive a confirmation email

Have you filled out a Parent Permission Release Form for the 2024-25 school year?

GEAR/PAYMENT

Payment for Gear

IMPORTANT TRIP INFORMATION

Please read ALL the following:

- 1 Bag/Luggage & 1 Backpack ONLY
Sleeping bag, pillow, Bible, comfortable lounge ware, at least two changes of clothing, house slippers if desired, toiletries, complete winter gear (boots, Jacket, hat, gloves and pants) and ski or snowboard gear.

- Medications
If your child needs to take medications during the retreat you must turn them in when you drop your student off at Cornerstone Church. All over the counter and non prescritption drugs must remain in the original container. All prescription medications must be in a Pharmacy Labeled container with the students name on it. Loose pills will not be accepted. We will zip lock all medications and label with the students name. CSM staff will administer meds to each student as needed.

- Check-In & Departure
PLEASE come in to the church and check in your student on Firday April 4th at 2pm. PLEASE DO NOT drop them off and leave. We want to make sure we have everything we need for your student before you leave. We will have food provided for them as they check in. We will be leaving at 3pm.

- Food
Students will have all meals provide during the retreat. If your student wants to bring their own snacks, they are welcome to do so.

- Electronics
No cell phones, iPods, iPads, computers or gaming systems will be allowed on this retreat. We want the students to focus on growing in their knowledge of God but also to spend time together growing in their community. All leaders will have cell phones and the ability to make calls as needed.

- Return Time
We will be returning on Sunday the 6th at approximately 2pm. Please be on time to pick up your student.

By submitting this form you agree to everything listed above and will follow each one.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

CSM SR SPRING Retreat 2025

Description

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