Men & Boys Retreat Registration

Men & Boys Camp Registration Form

The Group Leader and will serve as the primary point of contact for that group

Group Leader's Name

Group Leader's Phone Number

Group Leader's Email

Church Name

Church Phone Number

Church Address

City

State

Zip Code

Please add everyone in your group that will be attending, including the group leader.

Age Group	Camper's Name

Registering a Pastor

Yes

Name	Phone Number

$20 per a camper

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Pay with Card (Stripe)