Retreat Registration

 

Your full name:
Your email address: (e.g.: you@aol.com)

Address:
City/Town: State/Prov.:
Post./Zip Code:

Your phone number (with country, city, area codes):

Age :

Gender                                                     
Male                            Female          

Again, please keep in mind that you must bring a signed permission slip. You may print a copy out from here.

If you must cancel, please let us know ASAP so we can make that space available for someone else. We will not accept drop ins beyond the 40 camper limit.

If you have any questions, please contact us at camp@berea4u.org