Winter Retreat 2024
Look Alive

Who:  Students 7th - 12th Grade
When:  Jan. 19th - Jan. 21st,  2024
Where:  Spring Lake Camp and Retreat Center - Lonsdale, AR
Cost:  $85 per student January 3rd (Non-refundable; non-transferable)
Questions:  Yerik Henderson, yhenderson@familychurchbryant.org, Bradley Lattin, blattin@familychurchbryant.org

Camper Information



Group Information


Medical Information

Emergency Information is required


In case of an emergency, we will contact the parent or legal guardian immediately.  If we are unable to reach you, please list a secondary contact person who we can call.  This contact must be someone not living in the same household 

Permission and Release

This health history is correct as far as I know, and the camper listed above has permission to attend Fired Up For Jesus Winter Retreat and to engage in all camp activities except as noted.  I hereby authorize the executive staff or designated medical professional to dispense over -the-counter- medication as needed to the camper listed above.

Payment

Please make all checks payable to Family Church Bryant.  You can turn in payments to the church office, Monday-Friday, 8 am - 4 pm.  You can turn in payments on Sunday mornings to Pastor Bradley Lattin or Pastor Yerik Henderson.  Payments are due January 3rd.  If you are unable to make your payment on January 3rd, please contact Pastor Bradley, blattin@familychurchbryant.org or Pastor Y at yhenderson@familychurchbryant.org.