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Parent/Guardian Name
Address

Student Registration

To register multiple students, click the "add student" button after the allergy/medical box.

If you are registering students from multiple households, please submit a separate registration for each household.

Student Name
Hoodie Size
Registration includes a free TLC hoodie! All sizes are adult sizes.
Food allergy, other allergy, medical, or special needs?

Permission to Participate

By signing below, as parent or guardian of the registered student(s), I do hereby give permission for (student/s) to travel to the Teen Leadership Conference Retreat at Washington Family Ranch in Antelope, OR from December 30, 2024 to January 1, 2025 in the company of Sunset Bible Church youth ministry staff. I understand the permission to include emergency medical treatment in case I/we cannot be reached in a medical emergency.
Clear Signature

Payment

Price per Student: $190.00
Please use the dropdown to select the number of students you are registering.
$0.00
Payment Method