EDGE Fall Retreat

November 9-11 | Please fill out this form and click submit.

November 9-11

Little Galilee Christian Camp and Retreat Center (Clinton, IL) We will be meeting at BCC on Friday (11/9) at 5pm to leave as a group on a bus. Please eat dinner before you come as we'll only be having snacks at the camp later that night. We should be arriving back to BCC on Sunday (11/11) at noon to be picked up by parents right after church.

Child's Name 1

Grade

Please select one option.

6 7 8

Allergies?

Would you like a t-shirt? If yes, select a size. ($10)

Please select all that apply.

Youth Large Youth X-Large S M L XL

Child's Name 2

Grade

Please select one option.

6 7 8

Allergies?

Would you like a t-shirt? If yes, select a size. ($10)

Please select all that apply.

Youth Large Youth X-Large S M L XL

Child's Name 3

Grade

Please select one option.

6 7 8

Allergies?

Would you like a t-shirt? If yes, select a size. ($10)

Please select all that apply.

Youth Large Youth X-Large S M L XL

Payment

Registration cost is $50 for the first child and $45 for each additional child. Contact Phil Smith if you have questions regarding this.

Registration will be complete after payment has been received by the Bethany Community Church office.

Payment can be made by mailing or dropping of a check to:
Bethany Community Church
27265 Dutch Lane
Washington, IL 61571

Or by entering your credit card information below.

Payment

Payment by check ($0) 1 Child ($50) 2 Children ($95) 3 Children ($140) 1 Child + T-shirt ($60) 2 Children + T-shirts ($115) 3 Children + T-shirts ($170)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

November 9-11

Please fill out this form and click submit.

EDGE Fall Retreat

Description

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