Randolph Friends Youth Retreat — Central Yearly Meeting of Friends

Randolph Friends Youth Retreat!

March 1-3, 2024

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Randolph Friends Youth Retreat 2024

Name

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age

Gender

Church Affiliation

Parent/Guardian Name

First Name

Last Name

Name of Emergency Contact

Emergency Phone Number

(###)

###

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Relation of Emergency Contact

e.g. Mother, Father, Grandparent, etc.

Allergies

If the camper has any allergies to food, or is taking any medications, please list them here.

Participation Agreement

Did you and your parent/guardian read and accept the terms of the participation agreement?

Yes

Please Read User Agreement before Registering

In-person registration is also available.